Individual
MR. JEFFREY L CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, RET.
Contact information
Practice address
2414 W UNIVERSITY DR, SUITE 110, MCKINNEY, TX 75071-2810
(972) 569-9050
(972) 569-9076
Mailing address
9917 LAKEVIEW DR, PROVIDENCE VILLAGE, TX 76227-5427
(469) 417-8280
(940) 440-0781
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT0438
TX
Other
Enumeration date
04/20/2006
Last updated
04/12/2026
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