# MCDANIEL CLINIC, P. A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578718011
- **Authorized official:** CLARK R MCDANIEL M.D. (DIRECTOR)
- **Authorized official phone:** (432) 267-1014

## Contact information

- **Practice address:** 1608 WEST FM 700, STE A, BIG SPRING, TX 79720-4113
- **Practice address phone:** (432) 267-1014
- **Practice address fax:** (432) 267-2604
- **Mailing address:** 1608 WEST FM 700, STE A, BIG SPRING, TX 79720-4113
- **Mailing address phone:** (432) 267-1014
- **Mailing address fax:** (432) 267-2604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | E2289 | TX | Yes |

## Other

- **Enumeration date:** 11/25/2008
- **Last updated:** 11/25/2008