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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DESRAJ CLARK

Active

DESRAJ CLARK is a Orthopaedic Surgery healthcare provider located in FORT BLISS, Texas. NPI 1396109666 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · FORT BLISS, TX

Registration Details

NPI Number
1396109666
Provider Type
Individual
Gender
Male
NPI Issued
Apr 12, 2016 (10.155634924821 yrs)
Last Updated
Oct 30, 2023
License
30773 (NE)

Practice Information

Address
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX, 799065327
Browse TX providers · Browse ZIP 79906
Phone
9157420353
Primary Specialty
Orthopaedic Surgery
207X00000X
Additional Specialty
Orthopaedic Surgery

Other Orthopaedic Surgery Providers in FORT BLISS, TX

Name Credential NPI
DR. MICHAEL DOUGLAS ECKHOFF MD 1932629383
JOHN ANTHONY SBARBARO DO MPH 1972024362
DR. JOHN PHILIP SCANALIATO MD 1962908640
DAVID NORMAN FOGG JR. 1750086435
JOHN K MCNAMARA III MD 1033814462
MOHAMMED A POURGHAED 1215632666
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.