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Individual

CLARK R. MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9230 CLIFFMERE DR, DALLAS, TX 75238-3331
(469) 774-0454
Mailing address
9230 CLIFFMERE DR, DALLAS, TX 75238-3331
(469) 774-0454

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N1786
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BP1-0026364
INSTITUTIONAL PERMIT
Enumeration date
05/26/2007
Last updated
07/11/2013
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