| Doctor Name: | MRS. PAMELA DAWN CLARK |
| NPI Number: | 1306967187 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN, FNP |
| License Number: | 678694 |
| Business Practice Address: | 302 N Butler St Karnes City, TX - 781182801 |
| Business Phone Number: | 8307803100 |
| Business Fax Number: | 8307803130 |
| Mailing Address: | 310 W Oaklawn Rd, PLEASANTON |
| State: | TX |
| Postal Code: | 780644033 |
| Phone Number: | 8305698940 |
| Fax Number: | |
| NPI Enumeration Date: | 04/02/2007 |
| NPI Last Update Date: | 02/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 678694 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |