Individual
CLINTON DERRICK HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-8666
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(901) 551-2992
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
2482
NE
207L00000X
Anesthesiology Physician
2482
NE
208D00000X
General Practice Physician
Primary
2482
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
07/30/2024
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