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Organization

CIM MEDICAL,PLLC

Active
Other names
Consultants In Metabolism
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANA G CLARK MD (PRESIDENT)
(817) 988-4261
Entity
Organization

Contact information

Practice address
1560 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6462
(903) 600-5312
(817) 259-2613
Mailing address
539 W COMMERCE ST STE 3874, DALLAS, TX 75208-1953
(903) 600-5312
(817) 259-2613

Taxonomy

Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary

Other

Enumeration date
05/16/2023
Last updated
05/16/2023
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