CLINTON DERRICK HARPER

JBSA FT SAM HOUSTON, TX
NPI1376171595
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: NE  2482)
Additional Taxonomies171000000X Military Health Care Provider
(Licence: NE  2482)
207L00000X Anesthesiology
(Licence: NE  2482)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-01
Last Update Date2024-07-30
Business Address
CLINTON DERRICK HARPER DO
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-8666
Mailing Address
CLINTON DERRICK HARPER DO
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 901-551-2992