Individual
DR. GARY R CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2929 S HAMPTON RD, DALLAS, TX 75224-3026
(214) 623-4400
Mailing address
1529 HACKETT CREEK DR, MCKINNEY, TX 75070-5068
(972) 886-5702
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L8651
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T0134490
CONTROLLED SUBSTANCE
TX
Enumeration date
06/08/2006
Last updated
03/07/2023
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