Individual
ADRIAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-7777
Mailing address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
0102208814
VA
Other
Enumeration date
06/05/2023
Last updated
10/30/2024
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