P Praxis·MD
● Active Type 1 · Individual

DR. Jeremy Dean Clark, DO

Radiology·Plano, TX· NPI 1902122443 · Enumerated 2010 · 16 years on NPI
Clark is 1 of 118 radiology providers in Plano and 1 of 3776 in Texas.
NPI age
16 years
Enumerated 2010-04-08
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3776 active radiology providers in Texas.

NPI age
16 years
↓ 3 yr below median (19 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
1
In the 36% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-04Enumerated in NPPES
2010 2026

Where they practice

Practice location
3901 W 15th St
Plano, TX 750757738
📞 9725966800
Mailing address
1820 Preston Park Blvd Ste 1825
Plano, TX 750935215
📞 9728677862

Additional practice locations

1 secondary location on file with NPPES.

Location 2
4815 Alameda Ave
El Paso, TX 799052705
📞 9152156000fax 9155456607

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    TX license #Q7164 taxonomy 2085R0202X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 259 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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