Individual
AMANDA JUNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(615) 943-4809
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(615) 936-2555
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
BP10077542
TX
Other
Enumeration date
04/09/2015
Last updated
03/08/2023
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