Organization
JA MCCALL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MCCALL JR. OD (OWNER)
(936) 544-3763
Entity
Organization
Contact information
Practice address
711 E GOLIAD AVE, CROCKETT, TX 75835-2140
(936) 544-3763
Mailing address
711 E GOLIAD AVE, CROCKETT, TX 75835-2140
(936) 544-3763
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629157177
NPI
TX
Enumeration date
12/17/2018
Last updated
06/11/2019
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