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1720031511
IKE CLAYTON THACKER
DALLAS, TX
NPI
1720031511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX L7215)
Enumeration Date
2006-05-19
Last Update Date
2012-02-15
Business Address
-- IKE CLAYTON THACKER MD
3500 GASTON AVE
DALLAS, TX 75246
Phone number: 214-826-8822
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Mailing Address
-- IKE CLAYTON THACKER MD
712 N WASHINGTON AVE SUITE 101
DALLAS, TX 75246-1619
Phone number: 214-826-8822
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