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1265573067
SHANE ALAN CLARK
DALLAS, TX
NPI
1265573067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: TX M5105)
Enumeration Date
2007-02-12
Last Update Date
2022-01-31
Business Address
SHANE ALAN CLARK MD
6606 LBJ FWY SUITE 200
DALLAS, TX 75240-6533
Phone number: 972-715-5000
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Mailing Address
SHANE ALAN CLARK MD
PO BOX 840853
DALLAS, TX 75284-0853
Phone number: 972-715-5000
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