Kendrick Terrill Clack (NPI# 1730597659, PAC ID# 8527379221) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1730597659 |
| PAC ID by PECOS | 8527379221 |
| Professional Enrollment ID | I20160208000909 |
| Full Name | Kendrick Terrill Clack |
| Organization Legal Name | COASTAL BEND WELLNESS FOUNDATION |
| Address |
5633 S Staples St Suite 700 Corpus Christi TX 78411-4679 |
| Phone Number | 3618142001 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9931422649 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2882 Holly Rd, Corpus Christi, TX 78415-4106 | 3618142001 | COASTAL BEND WELLNESS FOUNDATION |
| 5633 S Staples St, Suite 700, Corpus Christi, TX 78411-4679 | 3618142001 | COASTAL BEND WELLNESS FOUNDATION |
| 5633 S Staples St, Corpus Christi, TX 78411-4679 | 3618142001 | COASTAL BEND WELLNESS FOUNDATION |
| Organization Legal Name | COASTAL BEND WELLNESS FOUNDATION |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia Elizabeth Bellamy | Nurse Practitioner | Coastal Bend Wellness Foundation | 2882 Holly Rd, Corpus Christi, TX 78415-4106 |
| Todd M Jarrell | Family Medicine | Coastal Bend Wellness Foundation | 5633 S Staples St, Suite 700, Corpus Christi, TX 78411-4679 |
| Zulma Ines Toledo | Pediatric Medicine | Coastal Bend Wellness Foundation | 5633 S Staples St, Corpus Christi, TX 78411-4679 |
| Sandra G Rodrigues | Family Practice | Coastal Bend Wellness Foundation | 5633 S Staples St, Corpus Christi, TX 78411-4679 |
| Street Address |
5633 S STAPLES ST SUITE 700 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip | 78411-4679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd M Jarrell | Family Medicine | Coastal Bend Wellness Foundation | 5633 S Staples St, Suite 700, Corpus Christi, TX 78411-4679 |
| Zulma Ines Toledo | Pediatric Medicine | Coastal Bend Wellness Foundation | 5633 S Staples St, Corpus Christi, TX 78411-4679 |
| Sandra G Rodrigues | Family Practice | Coastal Bend Wellness Foundation | 5633 S Staples St, Corpus Christi, TX 78411-4679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Duncan Oshman | Otolaryngology | Ear,nose and Throat Associates | 3318 S Alameda, Corpus Christi, TX 78411 |
| Michael L Mintz | Otolaryngology | Ear,nose and Throat Associates | 3318 S Alameda, Corpus Christi, TX 78411 |
| Matthew Kirk Steehler | Otolaryngology | Ear,nose and Throat Associates | 3318 S Alameda, Corpus Christi, TX 78411 |
| Shekhar S Raj | Pediatric Medicine | Department of Anesthesiology - Corpus Christi | 3533 S Alameda, Corpus Christi, TX 78411 |
| Troy L Creamean | Otolaryngology | Ear,nose and Throat Associates | 3318 S Alameda, Corpus Christi, TX 78411 |
| Diana Chagoya | Qualified Audiologist | Ear,nose and Throat Associates | 3318 S Alameda, Corpus Christi, TX 78411 |
| Paul W Loeffler | Otolaryngology | Ear,nose and Throat Associates | 3318 S Alameda, Corpus Christi, TX 78411 |
| Ravi Shankar Samraj | Pediatric Medicine | Department of Anesthesiology - Corpus Christi | 3533 S Alameda, Corpus Christi, TX 78411 |
| George H Fisher Jr. | Otolaryngology | Ear,nose and Throat Associates | 3318 S Alameda, Corpus Christi, TX 78411 |
| Andreas Kaden | Otolaryngology | Ear,nose and Throat Associates | 3318 S Alameda, Corpus Christi, TX 78411 |
| Find all physicians in zip 78411 | |||
| City | CORPUS CHRISTI |
| Zip Code | 78411 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CORPUS CHRISTI + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kendrick Terrill Clack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.