Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. CHRISTIAN STEVEN CLARK CRNA
NPI 1730015702
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Q: What is Christian Clark's NPI number?

The NPI number for Christian Clark is 1730015702. It was assigned to this individual provider in the NPPES registry on June 18, 2026.

Q: What is Christian Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Christian Clark was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.

Active since June 18, 2026

2800 W BOWIE ST, FORT WORTH, TX 76109(817) 257-6749 Get Directions Write a Review

NPPES record added: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Christian Steven Clark Crna NPPES

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

MR. CHRISTIAN STEVEN CLARK CRNA (NPI 1730015702) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1730015702

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. CHRISTIAN STEVEN CLARKCredential: CRNA

Location Address2800 W BOWIE STFort Worth, TX 76109-1706

Mailing Address2800 W Bowie StFort Worth, TX 76109-1706

Phone(817) 257-6749

Sole ProprietorNo

Enumeration DateJune 18, 2026

NPPES CertifiedJune 18, 2026

✔ NPI 1730015702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

2800 W BOWIE ST, Fort Worth, TX 76109

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Other Providers at the Same Location NPPES 2

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

SAMANTHA POWELL DAVIS MS, RD, LD

Dietitian, Registered

2800 W BOWIE ST
FORT WORTH, TX 76109

Tarrant County (817) 793-9193

DRU RIDDLE ANESTHESIA, PLLC

Clinic/Center (Ambulatory Surgical)

2800 W BOWIE ST
FORT WORTH, TX 76109

Tarrant County (817) 734-7980

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 Christian Clark's NPI number?

The NPI number for Christian Clark is 1730015702. It was assigned to this individual provider in the NPPES registry on June 18, 2026.

Where is Christian Clark located?

Christian Clark practices at 2800 W Bowie St, Fort Worth, TX 76109. The listed phone number is (817) 257-6749.

What is Christian Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Christian Clark was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.