Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen A. Clark MD PA

Organization Internal Medicine Physician · NPI 1083085385

Kathleen A. Clark MD PA is an Internal Medicine Physician in Amarillo, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5701 Time Square Blvd Ste 220
Amarillo, TX 79119-1178
Phone: (806) 350-7311
Fax: (806) 350-7361
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence P8871 (TX)

Record details

NPI number1083085385
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Clark — Md · (806) 350-7311
Other names Southwest Anti-Aging Center
NPI enumeratedOctober 13, 2015
Last updated in NPPESNovember 9, 2017
Mailing address5701 Time Square Blvd Ste 220, Amarillo, TX 79119-1178

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