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Individual

ROBERT JEFF CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS, CNIM

Contact information

Practice address
14983 BOAZ LN, LINDALE, TX 75771-4801
(972) 786-6167
(903) 882-7748
Mailing address
14983 BOAZ LN, LINDALE, TX 75771-4801
(972) 786-6167
(903) 882-7748

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary

Other

Enumeration date
05/18/2007
Last updated
09/02/2021
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