Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gordon Michael Clark Sr., MD

Individual provider Internal Medicine Physician · NPI 1629116744

Dr. Gordon Michael Clark Sr., MD is an Internal Medicine Physician in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4119 Emerson Ave
Dallas, TX 75205-1144
Phone: (214) 520-0720
Fax: (214) 520-0720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence H6794 (TX)

Record details

NPI number1629116744
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4119 Emerson Ave, Dallas, TX 75205-1144

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