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Individual
THEODORE JAMES MCLEAN
Active
Individual
THEODORE JAMES MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207P00000X
Emergency Medicine Physician
Primary
0101280156
VA
207P00000X
Emergency Medicine Physician
Primary
W5219
TX
Other
Enumeration date
03/07/2022
Last updated
05/15/2026
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