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Individual
DR. MARK LEE MCCLANAHAN
Active
Individual
DR. MARK LEE MCCLANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H4531
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A46Q
BLUE CROSS BLUE SHIELD
TX
01
—
080172851
RAILROAD MEDICARE
TX
01
—
108548
SUPERIOR HEALTH PLAN
TX
01
—
118927100
FIRST CARE
TX
01
—
125516200
US WORKER'S COMPENSATION
TX
05
—
133737005
—
TX
05
—
140688601
—
TX
05
—
143179307
—
TX
05
—
143179308
—
TX
05
—
143179310
—
TX
01
—
173682901
MEDICAID DME
TX
01
—
173682902
MEDICAID HOME HEALTH DME
TX
01
—
1LEW01644
TUHP
TX
01
—
23386533
COLORADO MEDICAID
CO
01
—
3089010001
PALMETTO GBA
TX
01
—
370622800
US DEPT OF LABOR
TX
01
—
615010000
US DEPT OF LABOR
TX
01
—
762270
PHOENIX HEALTH PLAN
TX
01
—
811020
USA MANAGED CARE PPO
TX
01
—
E4655
NEW MEXICO MEDICAID
NM
Enumeration date
09/21/2005
Last updated
05/26/2022
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