Dr. Dana Gibbs Clark, MD
Otolaryngology in Arlington, TX. Individual provider (NPI-1).
NPI number1720009236
StatusActive
Last updated in NPPESMay 16, 2023
Details
- NPI
- 1720009236
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dana Gibbs Clark
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2006
- Certification date
- May 16, 2023
- Last updated
- May 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | K7021 | TX | Yes |
| 174400000X | Specialist | k7021 | TX | |
| 207YX0602X | Otolaryngology, Otolaryngic Allergy | k7021 | TX |
Other names
- Dana Bernice Gibbs (Professional Name)
Practice location
2314 Shadydale DrArlington, TX 76012-5428
Phone 178-988-4261 · Fax 817-259-2613
Mailing address
2314 Shadydale DrArlington, TX 76012-5428
Phone 178-988-4261 · Fax 817-259-2613
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