Clark Red Gregg
Infectious Disease
4500 S Lancaster Rd
Dallas
, Texas 75216-7167
Clark Red Gregg
Infectious Disease
4500 S Lancaster Rd
Dallas
, Texas 75216-7167
(817) 737-6844
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Clark Red Gregg
- 3 Westover Rd
- Fort Worth, TX
- Zip : 76107-3104
- Fax : (817) 737-6844
- Phone : (817) 737-3435
Second Address
- Clark Red Gregg
- 4500 S Lancaster Rd
- Dallas, TX
- Zip : 75216-7167
- Phone : (214) 857-1150
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | E1598 | TX |
National Provider Identifier
| NPI | 1073615571 |
|---|---|
| Provider Name | Clark Red Gregg |
| First Address | Fort Worth, TX 76107-3104 |
| Second Address | Dallas, TX 75216-7167 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.