Individual
ALLEN CLARK IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12360 RICHMOND AVE APT 915, HOUSTON, TX 77082-2451
(702) 515-9048
Mailing address
12360 RICHMOND AVE APT 915, HOUSTON, TX 77082-2451
(702) 515-9048
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
372600000X
Adult Companion
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/13/2024
Last updated
09/30/2025
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