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Organization
JOAN MCCLARY
Active
Organization
JOAN MCCLARY
Active
Other names
Dr. Joan McClary's Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN MARIE MCCLARY MD (OWNER)
(254) 757-3774
Entity
Organization
Contact information
Practice address
1612 AUSTIN AVE, STE. C, WACO, TX 76701-1714
(254) 757-3774
(254) 757-0141
Mailing address
1612 AUSTIN AVE, SUITE C, WACO, TX 76701-1714
(254) 757-3774
(254) 757-0141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H4532
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137976004
—
TX
05
—
137976010
—
TX
Enumeration date
12/01/2006
Last updated
07/07/2009
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