Clark-Mcgill, Diana Katherine

Clark-Mcgill, Diana Katherine is an individual health care provider with primary practice located at 1450 Kingwood Dr , Kingwood TX 77339-3040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark-Mcgill, Diana Katherine can be contacted via phone (832) 548-4420.

Contact Information

Primary practice address
1450 Kingwood Dr Kingwood TX 77339-3040
Phone: (832) 548-4420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00395 Texas

Profile Details

NPI number 1922093319
LBN Legal business name Clark-Mcgill, Diana Katherine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jun 19th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922093319 NPPES
Texas Other 89N545 BLUE CROSS BLUE SHIELD

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