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1578907945
AUDRA TESS CLARK
DALLAS, TX
NPI
1578907945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0102X Surgery, Surgical Critical Care
(Licence: TX Q9593)
Enumeration Date
2013-04-29
Last Update Date
2022-08-30
Business Address
AUDRA TESS CLARK MD
5201 HARRY HINES BLVD GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235-7708
Phone number: 214-590-8058
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Mailing Address
AUDRA TESS CLARK MD
PO BOX 660599
DALLAS, TX 75266-0599
Phone number:
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