Individual provider · Type 1 NPI
Christian Steven Clark, CRNA
Student in an Organized Health Care Education/Training Program · Fort Worth, TX
NPI number
1730015702
Active
Practice location
2800 W Bowie St
Fort Worth, TX 76109-1706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3 other providers at this address
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About NPI 1730015702
Christian Steven Clark, CRNA's National Provider Identifier is 1730015702, issued on Jun 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 18, 2026.