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Individual

ASHLEY MCCLARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., M.P.H.

Contact information

Practice address
3816 S 1ST ST, AUSTIN, TX 78704-7048
(512) 443-1311
Mailing address
6210 E HWY 290, AUSTIN, TX 78723-1142
(512) 483-9596
(512) 406-6216

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2016-00622
NC
208000000X
Pediatrics Physician
Primary
S0942
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093158594
NC
Enumeration date
04/15/2013
Last updated
12/13/2024
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