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

Dr. Jeremy Dean Clark, DO

Individual provider Diagnostic Radiology Physician · NPI 1902122443

Dr. Jeremy Dean Clark, DO is a Diagnostic Radiology in Plano, Texas. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2010, 16 years ago. Practices with Texas Radiology Associates LLP, a 153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
TX
In the registry since
2010
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3901 W 15th St
Plano, TX 75075-7738
Phone: (972) 596-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4815 Alameda Ave, El Paso, TX 79905-2705 — (915) 215-6000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence Q7164 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902122443
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 8, 2010
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2010 (16 years in practice)
Group practice Texas Radiology Associates Llp — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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