DR. GORDON MICHAEL SR. CLARK (M.D.) – Internal Medicine Physician, NPI 1629116744

DR. GORDON MICHAEL SR. CLARK (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. H6794 (TX). The NPI Number for DR. GORDON MICHAEL SR. CLARK (M.D.) is 1629116744

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. GORDON MICHAEL SR. CLARK (M.D.)
NPI
1629116744
Phone
(214) 520-0720
Address
4119 EMERSON AVE
Enumeration Date
1 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2547514000
Graduation Year
1979 (47 years ago)
PAC ID
4183669989
Group Practice PAC ID
1759481724
Professional Enrollment ID
I20050622000850
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. GORDON MICHAEL SR. CLARK (M.D.)

  • 4119, Emerson Avenue, University Park, Dallas County, Texas, 75205, United States

    DALLAS, TX 752051144

    Phone: (214) 520-0720

    Fax: (214) 520-0720

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759481724View full group profile
NameSpecialtyState
Internal MedicineTX
Internal Medicine, Emergency MedicineTX
Internal MedicineTX
-TX
Internal MedicineTX
Emergency MedicineTX
Family PracticeTX
Internal MedicineTX
Family PracticeTX
Family PracticeTX

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Frequently asked questions

What is the registry number for DR. GORDON MICHAEL SR. CLARK (M.D.)?
The registry entry for DR. GORDON MICHAEL SR. CLARK (M.D.) shows NPI 1629116744.
Is DR. GORDON MICHAEL SR. CLARK (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. GORDON MICHAEL SR. CLARK (M.D.) as active.
What type of care does DR. GORDON MICHAEL SR. CLARK (M.D.) provide?
DR. GORDON MICHAEL SR. CLARK (M.D.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. GORDON MICHAEL SR. CLARK (M.D.) tied to Dallas, Texas?
If you are local to Dallas, Texas, DR. GORDON MICHAEL SR. CLARK (M.D.) may be relevant to your search.
Who maintains DR. GORDON MICHAEL SR. CLARK (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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