Individual
DR. MARILYN MEADE MCCLUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11111 RESEARCH BLVD, STE 170, AUSTIN, TX 78759-5264
(512) 338-5222
(512) 338-5229
Mailing address
1701 MEADOWBROOK DR, AUSTIN, TX 78703-2840
(512) 345-9476
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H5927
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P08078214
—
TX
Enumeration date
10/17/2006
Last updated
01/06/2011
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