Individual
DR. BEN CLARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2826 E ILLINOIS AVE, DALLAS, TX 75216
(214) 372-4621
Mailing address
2826 E ILLINOIS AVE, DALLAS, TX 75216
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
400
TX
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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