Active NPI
Angel Juson Clark, LMT
- Massage Therapist
- El Paso, TX
National Provider Identifier
1932090057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT041445
- Practice address
- 1514 N Zaragoza Rd Ste A4
El Paso, TX 79936-8040 - Phone
- (915) 373-9181
- NPI assigned
- Jul 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT041445 | TX | Primary |
Addresses
Primary practice location
1514 N Zaragoza Rd Ste A4
El Paso, TX 79936-8040
Mailing address
5825 Flounder Dr
El Paso, TX 79924-5603
Phone (915) 373-9181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT041445 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1932090057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5825 FLOUNDER DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799245603",
"telephone_number": "915-373-9181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 N ZARAGOZA RD STE A4",
"city": "EL PASO",
"state": "TX",
"postal_code": "799368040",
"telephone_number": "915-373-9181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ANGEL",
"middle_name": "JUSON",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-15",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT041445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.