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Dr. Jeremy Dean Clark, DO
Diagnostic Radiology Physician in Plano, Texas
NPI 1902122443

Jeremy Dean Clark is a Diagnostic Radiology Physician based in Plano, TX and is specialized in Diagnostic Radiology. Jeremy Dean Clark practices in Plano, TX and has the professional credentials of DO. The NPI Number for Jeremy Dean Clark is 1902122443 and holds a License No. (Texas).

The current practice location address for Jeremy Dean Clark is 3901 W 15Th St, Plano, TX and can be reached out via phone at 972-596-6800.

Location: 3901 W 15Th St, Plano, TX, 75093-3656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902122443
Provider Name
Jeremy Dean Clark
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3901 W 15Th St, Plano, TX, 75093-3656
Phone Number
972-596-6800
Fax Number
Provider Enumeration Date
04/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3901 W 15Th St
City
Plano
State
Texas
Zip
75075-7738
Phone Number
972-596-6800
Fax Number
person
Provider Business Mailing Address Details
Address
3901 W 15Th St
City
Plano
State
Texas
Zip
75075-7738
Phone Number
972-596-6800
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
Q7164 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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