Clark Red Gregg MD

NPI 1073615571 - Internal Medicine - 207RI0200X

NPI Details
NPI 1073615571
Gender Male
Enumeration Date 09/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4500 S LANCASTER RD
DALLAS TX, 75216-7167, US
Phone (214) 857-1150
Fax
Business Location
3 WESTOVER RD
FORT WORTH TX, 76107-3104, US
Phone (817) 737-3435
Fax (817) 737-6844
Toxanomy
Taxonomy Code 207RI0200X
License State Texas
License Number E1598
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According to our database, Clark Red Gregg MD NPI is 1073615571, taxonomy code is 207RI0200X and license number is E1598, license state is located at Texas. Clark Red Gregg MD physically located at 4500 S Lancaster Rd, Dallas TX, 75216-7167. NPI Number Clark Red Gregg MD has the Individual type.

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1073615571 NPI number is provided on an as is basis without warranty of any kind. 1073615571 is maintained by the National Plan & Provider Enumeration System. The contents of Clark Red Gregg MD are for informational purposes only.