Pamela Dawn Clark is a Family in Kenedy, Texas. Pamela Dawn Clark practices all healthcare services and medical treatments related to Family. The NPI Number for Pamela Dawn Clark is 1306967187. The last update date is 2023-06-01.
Pamela Dawn Clark's current location address is 3349 S Highway 181 Ste 3, Kenedy, Texas. You can contact this provider via phone number 8305839355 and fax number 8305839335. The mailing address for Pamela Dawn Clark is 3349 S Highway 181 Ste 3, Kenedy, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela Dawn Clark |
|---|---|
| Address | 3349 S Highway 181 Ste 3, Kenedy, Texas |
| Phone Number | 8305839355 |
| Fax Number | 8305839335 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1306967187 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2023-06-01 |
Provider Mailing Address Detail
| Address | 3349 S Highway 181 Ste 3 |
|---|---|
| City | Kenedy |
| State | Texas (TX) |
| Post Code | 781195268 |
| Phone Number | 8305839355 |
| Fax Number | 8305839335 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 678694 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 206717501 | TX | -- |
Post Comment/ Review Below
What is the Pamela Dawn Clark's 1306967187?
The Pamela Dawn Clark's NPI (National Provider Identifier) Number is 1306967187. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Pamela Dawn Clark is located?
The Pamela Dawn Clark is situated at the following address: 3349 S Highway 181 Ste 3, Kenedy, TX, 781195268.
What is the Pamela Dawn Clark's specialty and taxonomy code?
The Pamela Dawn Clark's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Pamela Dawn Clark receive the assignment of its 1306967187 from the Centers for Medicare & Medicaid Services?
The Pamela Dawn Clark was issued its 1306967187 by the Centers for Medicare & Medicaid Services on 2007-04-02.
As of what date was the information pertaining to Pamela Dawn Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Pamela Dawn Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-06-01.