Clark, Cameron Whitaker

Clark, Cameron Whitaker is an individual health care provider with primary practice located at 2727 E Southlake Blvd , Southlake TX 76092-6613. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Clark, Cameron Whitaker can be contacted via phone (682) 885-6000.

Contact Information

Primary practice address
2727 E Southlake Blvd Southlake TX 76092-6613
Phone: (682) 885-6000
Fax: (682) 885-6050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA007766 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA07766 Texas

Profile Details

NPI number 1760758320
LBN Legal business name Clark, Cameron Whitaker
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2012
Last updated May 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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