Timiera Clark, OWNER
NPI #1093360802 in Fort Worth, Texas
Provider Information
- NPI Number
- 1093360802
- Entity Type
- Individual
- Name
- Timiera Clark, OWNER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Attendant Care Provider
- Credential
- OWNER
- Enumeration Date
- Aug 8, 2019
- Last Updated
- Aug 8, 2019
Practice Location
- Address
- 5601 BRIDGE ST STE 300
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76112-2355
- Phone
- (817) 902-8085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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