EDWARD DEALLEN CLARK

GRAPEVINE, TX
NPI1730294232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: TX  K3564)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
-- EDWARD DEALLEN CLARK M.D.
1600 W COLLEGE ST STE LL10
GRAPEVINE, TX 76051-3598
Phone number: 817-410-7982
Mailing Address
-- EDWARD DEALLEN CLARK M.D.
1600 W COLLEGE ST STE LL10
GRAPEVINE, TX 76051-3598
Phone number: 817-410-7982
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