Individual
DR. JEREMY DEAN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3901 W 15TH ST, PLANO, TX 75075-7738
(972) 596-6800
Mailing address
1820 PRESTON PARK BLVD STE 1825, PLANO, TX 75093-5215
(972) 867-7862
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
Q7164
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/08/2010
Last updated
03/09/2026
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