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

Erica Dominique Clack

Individual provider Licensed Vocational Nurse · NPI 1639734502

Erica Dominique Clack is a Licensed Vocational Nurse in San Augustine, Texas. Licensed in Texas. Registered with an NPI since 2019.

Licensed in
TX
In the registry since
2019

Practice location Address checks out

406 E Planters St
San Augustine, TX 75972-2140
Phone: (936) 201-2132
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 319226 (TX)

Record details

NPI number1639734502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2019
Last updated in NPPESMay 7, 2019

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