NPI age
17 years
Enumerated 2008-12-16
● Active
Type 1 · Individual
Kathleen Anne Clark, M.D.
Clark is 1 of 103 internal medicine providers in Amarillo and 1 of 12343 in Texas.
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
TX, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-03-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 12343 active internal medicine providers in Texas.
NPI age
17 years
≈ at median (17 yr)
State licenses
2 states
Top 88% — 12% of peers are multi-state
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-12Enumerated in NPPES
2008
2026
Where they practice
Practice location
5701 Time Square Blvd Ste 220
Amarillo, TX 791191178
Mailing address
5701 Time Square Blvd Ste 220
Amarillo, TX 791191178
Specialties
-
Internal Medicine PrimaryA 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,...
-
Obstetrics & GynecologyAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200232280 A | |
| 01 (TX) | 8L8001 | MEDICARE |
| 05 (NM) | 83982876 | |
| 01 (TX) | 8L20138 | MEDICARE - OB/GYN |
| 05 (TX) | 199457601 | |
| 01 (TX) | 199457602 | MEDICAID - OB/GYN |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.