IndividualActive
Adrian Clark, DO
NPI 1649964487 · Military Health Care Provider · Fort Bliss, TX
Provider details
- NPI number
- 1649964487
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 0102208814 (VA)
Specialties & taxonomies
Other Service Providers
Practice location
18511 Highlander Medics St
Fort Bliss, TX 79906-5327
Phone: (915) 742-7777
Approximate (ZIP-level) locationGet directions
Mailing address
18511 Highlander Medics St
Fort Bliss, TX 79906-5327
Registry dates
- Enumerated
- 2023-06-05
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.