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Desraj Clark
Orthopedic Surgery Physician in Fort Bliss, Texas
NPI 1396109666

Desraj Clark is a Orthopedic Surgery Physician based in Fort Bliss, TX. Desraj Clark practices in Fort Bliss, TX. The NPI Number for Desraj Clark is 1396109666 and holds a License No. (Texas).

The current practice location address for Desraj Clark is 18511 Highlander Medics St, Fort Bliss, TX and can be reached out via phone at 915-742-0353.

Location: 18511 Highlander Medics St, Fort Bliss, TX, 79906-5327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396109666
Provider Name
Desraj Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
18511 Highlander Medics St, Fort Bliss, TX, 79906-5327
Phone Number
915-742-0353
Fax Number
Provider Enumeration Date
04/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18511 Highlander Medics St
City
Fort Bliss
State
Texas
Zip
79906-5327
Phone Number
915-742-0353
Fax Number
person
Provider Business Mailing Address Details
Address
18511 Highlander Medics St
City
Fort Bliss
State
Texas
Zip
79906-5327
Phone Number
915-742-0353
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
30773 (Nebraska)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
()
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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