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

Mrs. Cameron Whitaker Clark, PA

Individual provider Surgical Physician Assistant · NPI 1760758320

Mrs. Cameron Whitaker Clark, PA is a Surgical Physician Assistant in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2727 E Southlake Blvd
Southlake, TX 76092-6613
Phone: (682) 885-6000
Fax: (682) 885-6050
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA07766 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA007766 (TX)

Record details

NPI number1760758320
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 28, 2012
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021

Other providers in Southlake