KENDRICK TERRILL CLACK FNP-C NPI 1730597659

NPI Information

  • NPI: 1730597659
  • Provider Name: KENDRICK TERRILL CLACK, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3701 KIRBY DR STE 1230
    HOUSTON, TX
    ZIP 77098
  • Phone: (713) 526-0005

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NPI Details

Kendrick Terrill Clack, FNP-C is a family nurse practitioner in Houston, TX. Kendrick Terrill Clack, FNP-C NPI is 1730597659. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3701 KIRBY DR STE 1230
HOUSTON, TX
ZIP 77098-916
Phone: (713) 526-0005

The NPI 1730597659 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2014 and was last updated on 7/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP125826TEXASYes
2363LF0000XNurse PractitionerFamily209012875ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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