Individual
DR. DANA GIBBS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2314 SHADYDALE DR, ARLINGTON, TX 76012-5428
(178) 988-4261
(817) 259-2613
Mailing address
2314 SHADYDALE DR, ARLINGTON, TX 76012-5428
(178) 988-4261
(817) 259-2613
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K7021
TX
207Y00000X
Otolaryngology Physician
Primary
K7021
TX
207YX0602X
Otolaryngic Allergy Physician
K7021
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153107101
—
TX
Enumeration date
07/21/2006
Last updated
05/16/2023
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