| Mrs Pamela Dawn Clark, FNP | |
|
3349 S Highway 181 Ste 3, Kenedy, TX 78119-5268 | |
| (830) 583-9355 | |
| (830) 583-9335 |
| Full Name | Mrs Pamela Dawn Clark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3349 S Highway 181 Ste 3, Kenedy, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306967187 | NPI | - | NPPES |
| 206717501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 678694 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP115720 (Texas) | Primary |
| Entity Name | Karnes County Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1699772541 PECOS PAC ID: 5496740201 Enrollment ID: O20061104000384 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Pamela Dawn Clark, FNP 3349 S Highway 181 Ste 3, Kenedy, TX 78119-5268 Ph: (830) 583-9355 | Mrs Pamela Dawn Clark, FNP 3349 S Highway 181 Ste 3, Kenedy, TX 78119-5268 Ph: (830) 583-9355 |
Mrs. Jochelle Pawelek Uriegas, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3349 S Highway 181 Ste 3, Kenedy, TX 78119 Phone: 830-583-9355 | |
Mary Gail Moody, RN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 W Main St, Kenedy, TX 78119 Phone: 830-583-0627 Fax: 830-583-3729 |