Most Relevant Information
Provider Data
| NPI Number: | 1003343492 |
| Provider Name: | MATTHEW PAUL CLEMONS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/16/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
3500 GASTON AVE
DALLAS
TX
752462017
Practice Location Phone/Fax
| Phone: | 2148202361 |
| Fax: |
Provider Mailing Location
3500 GASTON AVE
DALLAS
TX
752462017
Provider Mailing Phone/Fax
| Phone: | 2148200111 |
| Fax: |