TIMIERA CLARK OWNER NPI 1093360802

NPI Information

Timiera Clark, OWNER is an attendant care provider technician in Fort Worth, TX. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. Timiera Clark, OWNER NPI is 1093360802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5601 BRIDGE ST STE 300
FORT WORTH, TX
ZIP 76112-355
Phone: (817) 902-8085

The enumeration date for this NPI number is 8/8/2019 and was last updated on 8/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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