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Desraj Clark

Orthopaedic Surgery Physician in Fort Bliss, TX · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396109666

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Registry record

Entity type Individual (Type 1)
Name Desraj Clark
Sex Male
Practice address 18511 Highlander Medics St, Fort Bliss, TX, 79906
Enumeration date Apr 12, 2016
Last updated in NPPES Oct 30, 2023

Taxonomy & licenses

171000000X Military Health Care Provider Other Service Providers Secondary
390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 30773 (NE) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Desraj Clark?
The National Provider Identifier (NPI) for Desraj Clark is 1396109666, a Type 1 (individual) record in the CMS NPPES registry.
Where does Desraj Clark practice?
The practice location on file with NPPES is in Fort Bliss, TX. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-30.