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

Mary Kathryn Clayshulte

Individual provider Surgical Physician Assistant · NPI 1396691226

Mary Kathryn Clayshulte is a Surgical Physician Assistant in Fort Worth, Texas. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

3500 Camp Bowie Blvd
Fort Worth, TX 76107-2644
Phone: (575) 993-9917
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1396691226
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 4, 2026
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

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