Individual
JARED CLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3920 W WHEATLAND RD STE 134, DALLAS, TX 75237-3404
(817) 960-9120
Mailing address
3920 W WHEATLAND RD STE 134, DALLAS, TX 75237-3404
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
S9121
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
09/18/2023
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