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MRS. CLAUDETTE VIVIENNE CLARK MSN,RN,CPNP,IBCLC
NPI 1053457135
Clinic/Center - Primary Care in Fort Sam Houston, TX

Active since January 29, 2007
3851 ROGER BROOKE DRIVE, BROOKE ARMY MEDICAL CENTER, FORT SAM HOUSTON, TX 78234(210) 916-9233 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Claudette Vivienne Clark Msn,rn,cpnp,ibclc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CLAUDETTE VIVIENNE CLARK MSN,RN,CPNP,IBCLC (NPI 1053457135) is an individual primary care provider in Fort Sam Houston, Texas, licensed in Alabama (1-059903) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1053457135
Entity TypeIndividualFemale
Primary Taxonomy261QP2300X
Provider Legal NameMRS. CLAUDETTE VIVIENNE CLARKCredential: MSN,RN,CPNP,IBCLC
Location Address3851 ROGER BROOKE DRIVE, BROOKE ARMY MEDICAL CENTERFort Sam Houston, TX 78234-6200
Mailing Address404 Dickman RdSan Antonio, TX 78234-2604 · (210) 595-3280
Phone(210) 916-9233
Sole ProprietorYes
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053457135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AL · 1-059903
3851 ROGER BROOKE DRIVE, Fort Sam Houston, TX 78234
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SONNY HUITRON D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
3851 ROGER BROOKE DRIVE, MCHE-QD(CREDS)
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-2460
AMY BEYER LCSW
Social Worker (Clinical)
3851 ROGER BROOKE DRIVE
FT. SAM HOUSTON, TX 78234
Bexar County (210) 916-0525
DR. ERIC RYAN SPOTTS O.D.
Optometrist
3851 ROGER BROOKE DRIVE, BROOKE ARMY MEDICAL CENTER: MCHE-QD/ CREDENTIALS:
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-1406
DR. JONATHAN NEIL SHERROD M.D.
Anesthesiology
3851 ROGER BROOKE DRIVE, MCHE-QD (CREDS)
APO, AA 78234
Bexar County (210) 916-2460
ASMA SULTANA BUKHARI RD
Dietitian, Registered
3851 ROGER BROOKE DRIVE, BAMC - MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 78234
Bexar County (210) 221-6274
DR. GARRETT SHAWN LYNCHARD MD
Internal Medicine (Cardiovascular Disease)
3851 ROGER BROOKE DRIVE, BAMC MCHE-QD/ CREDENTIALS
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-4717
DR. VU DANG PHARM.D., BCNP
Pharmacist (Nuclear)
3851 ROGER BROOKE DRIVE
FORT SAM HOUSTON, TX 78234
Bexar County (917) 226-7183
DR. DOUGLAS WAYNE SODERDAHL M.D.
Urology
3851 ROGER BROOKE DRIVE, MCHE-QD
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-2460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Claudette Clark's NPI number?

The NPI number for Claudette Clark is 1053457135. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Claudette Clark located?

Claudette Clark practices at 3851 Roger Brooke Drive Brooke Army Medical Center, Fort Sam Houston, TX 78234. The listed phone number is (210) 916-9233.

What is Claudette Clark's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Claudette Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.