Individual
BRANDON K CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC-I
Contact information
Practice address
2400 S LOOP W, HOUSTON, TX 77054-2800
(832) 429-7219
Mailing address
2380 MARTIN LUTHER KING JR AVE APT 7, GRAMBLING, LA 71245-2113
(318) 607-4302
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
05/27/2025
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