person
Reece Evan Clark
Student in an Organized Health Care Education/Training Program in San Antonio, Texas
NPI 1528622123

Reece Evan Clark is a Student in an Organized Health Care Education/Training Program based in San Antonio, TX. Reece Evan Clark practices in San Antonio, TX. The NPI Number for Reece Evan Clark is 1528622123 and holds a License No. BP10066718 (Texas).

The current practice location address for Reece Evan Clark is 4502 Medical Dr, San Antonio, TX and can be reached out via phone at 912-381-7001.

Location: 4502 Medical Dr, San Antonio, TX, 78229-3900
person
Provider Profile Details
NPI Number
1528622123
Provider Name
Reece Evan Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
4502 Medical Dr, San Antonio, TX, 78229-3900
Phone Number
912-381-7001
Fax Number
Provider Enumeration Date
04/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4502 Medical Dr
City
State
Zip
78229-4492
Phone Number
912-381-7001
Fax Number
person
Provider Business Mailing Address Details
Address
4502 Medical Dr
City
State
Zip
78229-4492
Phone Number
912-381-7001
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
BP10066718 (Texas)
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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