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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERICA DOMINIQUE CLACK

Active

ERICA DOMINIQUE CLACK is a Licensed Vocational Nurse healthcare provider located in SAN AUGUSTINE, Texas. NPI 1639734502 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · SAN AUGUSTINE, TX

Registration Details

NPI Number
1639734502
Provider Type
Individual
Gender
Female
NPI Issued
May 7, 2019 (7.0905969292048 yrs)
Last Updated
May 7, 2019
License
319226 (TX)

Practice Information

Address
406 E PLANTERS ST
SAN AUGUSTINE, TX, 759722140
Browse TX providers · Browse ZIP 75972
Phone
9362012132
Primary Specialty
Licensed Vocational Nurse
164X00000X

Other Licensed Vocational Nurse Providers in SAN AUGUSTINE, TX

Name Credential NPI
PAMELA MARIE BRYANT 1194215178
RAISHAUN EVETT RANDLE LVN 1114492170
LATASHA BARNES 1154892388
REBECCA LYNN STEWART LVN 1104390327
KANEITRA NICOLE GARRETT LVN 1033774906
MATTHEW JULIAN BEARDEN LVN 1740839612
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.