National Provider Identifier Database

TIMIERA CLARK, OWNER – NPI #1093360802
Attendant Care Provider

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.


Contact Information

TIMIERA CLARK, OWNER
5601 BRIDGE ST STE 300
FORT WORTH, TX76112-2355
Phone: 817-902-8085
Fax:
Website:
Specialty Taxonomy Code
* Attendant Care Provider 3747A0650X

* Indicates primary specialty

NPI Profile & details for TIMIERA CLARK

NPI Number 1093360802
Credentials OWNER
Entity Individual
Enumeration date 08/08/2019
Last updated 08/08/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • TX License #: 019428
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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