Provider Demographics
NPI:1083934848
Name:CLARK, MEAGHANN (RPA-C)
Entity type:Individual
Prefix:MRS
First Name:MEAGHANN
Middle Name:
Last Name:CLARK
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:MEAGHANN
Other - Middle Name:
Other - Last Name:BAKEWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPA-C
Mailing Address - Street 1:6400 FANNIN ST STE 2070
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1541
Mailing Address - Country:US
Mailing Address - Phone:713-486-8000
Mailing Address - Fax:713-500-0871
Practice Address - Street 1:929 GESSNER RD STE 2410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2584
Practice Address - Country:US
Practice Address - Phone:713-486-7720
Practice Address - Fax:713-486-7744
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA11223363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant