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Madison Clark, PA-C
Medical Physician Assistant in Dallas, Texas
NPI 1992417810

Madison Clark is a Medical Physician Assistant based in Dallas, TX and is specialized in Medical. Madison Clark practices in Dallas, TX and has the professional credentials of PA-C. The NPI Number for Madison Clark is 1992417810 and holds a License No. (Texas).

The current practice location address for Madison Clark is 5323 Harry Hines Blvd, Dallas, TX and can be reached out via phone at 214-648-3111.

Location: 5323 Harry Hines Blvd, Dallas, TX, 75390-7201
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Provider Profile Details
NPI Number
1992417810
Provider Name
Madison Clark
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5323 Harry Hines Blvd, Dallas, TX, 75390-7201
Phone Number
214-648-3111
Fax Number
Provider Enumeration Date
12/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5323 Harry Hines Blvd
City
State
Zip
75390-4231
Phone Number
214-648-3111
Fax Number
person
Provider Business Mailing Address Details
Address
5323 Harry Hines Blvd
City
State
Zip
75390-4231
Phone Number
214-648-3111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA16548 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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