Search › Texas › 207X00000X
Desraj Clark
NPI 1396109666 · on the registry since 2016
Practice
- Address
- 18511 Highlander Medics St
Fort Bliss, TX 79906 - Phone
- (915) 742-0353
- Organisation at this address
- Amc William Beaumont-Ft Bliss
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 403
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Also registered as
- 171000000X
390200000X - Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas