P Praxis·MD
● Active Type 2 · Organization

Kathleen A. Clark MD PA

Internal Medicine·Amarillo, TX· NPI 1083085385 · Enumerated 2015 · 10 years on NPI
Kathleen A. Clark MD PA is 1 of 12343 internal medicine organizations in Texas.
NPI age
10 years
Enumerated 2015-10-13
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clark
MD
Last NPPES update
2017-11-09
Source: monthly bulk 2026-05

How this organization compares

Across 12343 active internal medicine providers in Texas.

NPI age
10 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-10Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
5701 Time Square Blvd Ste 220
Amarillo, TX 791191178
📞 8063507311fax 8063507361
Mailing address
5701 Time Square Blvd Ste 220
Amarillo, TX 791191178
📞 8063507311fax 8063507361

Authorized official

Kathleen Anne Clark
MD
📞 8063507311

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    TX license #P8871 taxonomy 207R00000X

Identifiers

TypeValueNotes
01 (TX) 1083085385 NPI

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Southwest Anti-Aging Center
    Type code 3 recorded 2017-11-09

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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