IndividualActive
Amanda Clark, M.D.
NPI 1013303619 · Pediatric Nephrology Physician · Dallas, TX
Provider details
- NPI number
- 1013303619
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- BP10077542 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1935 Medical District Dr
Dallas, TX 75235-7701
Phone: (615) 943-4809
Approximate (ZIP-level) locationGet directions
Mailing address
1935 Medical District Dr
Dallas, TX 75235-7701
Registry dates
- Enumerated
- 2015-04-09
- Last updated
- 2023-03-08
- Certified
- 2023-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.