Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon K Clark, LCDC-I

Individual provider Case Manager/Care Coordinator · NPI 1063988939

Brandon K Clark, LCDC-I is a Case Manager/Care Coordinator in Houston, Texas. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

2400 S Loop W
Houston, TX 77054-2800
Phone: (832) 429-7219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1063988939
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDC-I
Sole proprietorNo
NPI enumeratedOctober 18, 2018
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address2380 Martin Luther King Jr Ave Apt 7, Grambling, LA 71245-2113

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