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MARY KATHRYN CLAYSHULTE
NPI 1396691226
Physician Assistant - Medical in Fort Worth, TX

Active since March 04, 2026
3500 CAMP BOWIE BLVD, FORT WORTH, TX 76107(575) 993-9917 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Kathryn Clayshulte NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KATHRYN CLAYSHULTE (NPI 1396691226) is an individual medical provider in Fort Worth, Texas and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1396691226
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARY KATHRYN CLAYSHULTE
Location Address3500 CAMP BOWIE BLVDFort Worth, TX 76107-2644
Mailing Address3500 Camp Bowie BlvdFort Worth, TX 76107-2644
Phone(575) 993-9917
Sole ProprietorNo
Enumeration DateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1396691226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
3500 CAMP BOWIE BLVD, Fort Worth, TX 76107
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH LAWRENCE MILLER PT, DPT
Physical Therapist
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-5466
NATASHA CHUGH
Student in an Organized Health Care Education/Training Program
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-2000
JORDYN RICKS
Student in an Organized Health Care Education/Training Program
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-2000
CRYSTAL HOWELL PHARMD
Pharmacist
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (512) 694-1275
JORDE ALEXANDRA TRUDEL PA-C
Physician Assistant
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-2301
DR. SARAH JUSTINE PAYNE PHARM.D.
Pharmacist (Pharmacotherapy)
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-0636
ELIZABETH BROWNELL
Student in an Organized Health Care Education/Training Program
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (319) 777-9880
SADAF NELISA RAHMATI
Physician Assistant
3500 CAMP BOWIE BLVD
FORT WORTH, TX 76107
Tarrant County (817) 735-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Clayshulte's NPI number?

The NPI number for Mary Clayshulte is 1396691226. It was assigned to this individual provider in the NPPES registry on March 4, 2026.

Where is Mary Clayshulte located?

Mary Clayshulte practices at 3500 Camp Bowie Blvd, Fort Worth, TX 76107. The listed phone number is (575) 993-9917.

What is Mary Clayshulte's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mary Clayshulte was last updated on March 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.