Cameron Whitaker Clark, P.A.
NPI 1760758320ActiveIndividual· Physician Assistant· Southlake, TX
Physician Assistant (P.A.) in Southlake, Texas, licensed in TX, with an NPI issued in March 2012. Enrolled in Medicare as practitioner - physician assistant. Abbvie Inc. reported $25.54 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1760758320 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Mar 28, 2012 |
| Last updated in NPPES | May 11, 2021 |
| Certified by provider | May 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA07766 | TX |
| Physician Assistant, Surgical | 363AS0400X | PA007766 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TX) |
|---|
Industry payments (Open Payments)
- 2024$25.54 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $25.54 | 1 |
What the 2024 payments were for
- Food and Beverage$25.54 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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