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Individual

MARIE MCLAIN

Active
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Individual

MARIE MCLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03576
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1822574
LA
05
186442301
TX
05
186442302
TX
05
186442303
TX
05
186442304
TX
01
8N9776
BLUE CROSS BLUE SHIELD
TX
01
P00323663
RAILROAD MEDICARE
TX
01
P01110817
RR MEDICARE
TX
Enumeration date
07/03/2006
Last updated
02/27/2017
About Stedi
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