MR. EARL E CLARK PAC
NPI 1861565046
Physician Assistant in Livingston, TX
About Mr. Earl E Clark Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EARL E CLARK PAC (NPI 1861565046) is an individual physician assistant in Livingston, Texas, licensed in Texas (PA00503) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Earl E Clark Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77351 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LIVINGSTON, TX 77351
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 Earl Clark's NPI number?
The NPI number for Earl Clark is 1861565046. It was assigned to this individual provider in the NPPES registry on November 16, 2006.
Where is Earl Clark located?
Earl Clark practices at 1717 Highway 59 Loop N, Livingston, TX 77351. The listed phone number is (936) 329-8500.
What is Earl Clark's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Earl Clark enrolled in Medicare?
Yes. Earl Clark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Earl Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Earl E Clark, PAC · NPI 1861565046
Physician Assistant physician in Livingston, Texas. Individual provider, active in the CMS NPPES registry since November 16, 2006.
## Identity
- **NPI:** 1861565046 (Entity type: Individual)
- **Enumerated:** November 16, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA00503 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1717 HIGHWAY 59 LOOP N, Livingston, TX 77351-5703
- **Phone:** (936) 329-8500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN P08646 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1861565046) · Data from the CMS NPPES public registry.