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

Charles Patrick Clark, PA-C

Individual provider Surgical Physician Assistant · NPI 1760940753

Charles Patrick Clark, PA-C is a Physician Assistant in Houston, Texas. Qualified in 2018, 8 years ago. Practices with Patient First Pennsylvania Medical Group PLLC, a 132-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6621 Fannin St Houston
Houston, TX 77030
Phone: (865) 313-8431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA061372 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1760940753
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 8, 2019
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Patient First Pennsylvania Medical Group Pllc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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