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1073615571
CLARK RED GREGG
DALLAS, TX
NPI
1073615571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RI0200X Internal Medicine Infectious Disease
(Licence: TX E1598)
Enumeration Date
2006-09-04
Last Update Date
2007-07-08
Business Address
CLARK RED GREGG MD
4500 S LANCASTER RD
DALLAS, TX 75216-7167
Phone number: 214-857-1150
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Mailing Address
CLARK RED GREGG MD
3 WESTOVER RD
FORT WORTH, TX 76107-3104
Phone number: 817-737-3435
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