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Organization
JOHN M MCLEAN
Active
Organization
JOHN M MCLEAN
Active
Other names
McLean Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MATTHEW MCLEAN (OWNER)
(734) 819-1707
Entity
Organization
Contact information
Practice address
3700 MCDONALD RD, APT 260, TYLER, TX 75701-6253
(734) 819-1707
Mailing address
3700 MCDONALD RD, APT 260, TYLER, TX 75701-6253
(734) 819-1707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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