Healthcare Provider Details

I. General information

NPI: 1245144120
Provider Name (Legal Business Name): ZACHARY LYNN CLEERE NRP, LP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

396 PAVELKA DR
MART TX
76664-5365
US

IV. Provider business mailing address

396 PAVELKA DR
MART TX
76664-5365
US

V. Phone/Fax

Practice location:
  • Phone: 254-366-6831
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number712884
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: