Individual
CLARK RED GREGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1150
Mailing address
3 WESTOVER RD, FORT WORTH, TX 76107-3104
(817) 737-3435
(817) 737-6844
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
E1598
TX
Other
Enumeration date
09/04/2006
Last updated
07/08/2007
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