Erica Dominique Clack, - Licensed Vocational Nurse in San Augustine, TX

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Erica Dominique Clack, is a Licensed Vocational Nurse based in San Augustine, Texas. Erica Dominique Clack is licensed to practice in Texas (license number 319226) and her current practice location is 406 E Planters St, San Augustine, Texas. She can be reached at her office (for appointments etc.) via phone at (936) 201-2132.

NPI number for Erica Dominique Clack is 1639734502 and her current mailing address is 406 E Planters St, San Augustine, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639734502.

Contact Information

Erica Dominique Clack,
406 E Planters St,
San Augustine, TX 75972-2140
(936) 201-2132
Not Available

Map and Direction




Provider's Profile

Full NameErica Dominique Clack
GenderFemale
SpecialityLicensed Vocational Nurse
Location406 E Planters St, San Augustine, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639734502
  • Provider Enumeration Date: 05/07/2019
  • Last Update Date: 05/07/2019

Medical Identifiers

Medical identifiers for Erica Dominique Clack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639734502NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse 319226 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erica Dominique Clack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Erica Dominique Clack,
406 E Planters St,
San Augustine, TX 75972-2140

Ph: (936) 201-2132		Erica Dominique Clack,
406 E Planters St,
San Augustine, TX 75972-2140

Ph: (936) 201-2132

Reviews and Comments


Licensed Vocational Nurse Nurses in San Augustine, TX

Kaneitra Nicole Garrett, LVN
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 924 Oliver St, San Augustine, TX 75972
Phone: 936-221-8569    
Rebecca Lynn Stewart, LVN
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2451 Lickskillett Rd, San Augustine, TX 75972
Phone: 936-201-3934    
Raishaun Evett Randle, LVN
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 308 N Goldenway St, San Augustine, TX 75972
Phone: 936-201-6269    
Latasha Barnes,
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 210 County Road 114 E, San Augustine, TX 75972
Phone: 936-201-5389    
Allison Nicole Jacks, LVN
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4750 Fm 1196, San Augustine, TX 75972
Phone: 936-201-3374    
Pamela Marie Bryant,
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 188 Private Road 7270, San Augustine, TX 75972
Phone: 936-219-5893    
Malaika Ilene Sigler, LVN
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1176 County Road 136, San Augustine, TX 75972
Phone: 936-201-0767    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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