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Individual

DEREK TYLER CLAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
18511 HIGHLANDER MEDICS STREET, DOM, EAST CLINIC 4TH FL, FORT BLISS, TX 79906-5327
(915) 742-0460
Mailing address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-0460

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
324494
NY
208M00000X
Hospitalist Physician
324494
NY

Other

Enumeration date
05/02/2020
Last updated
07/15/2025
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