Individual
SUSAN F. MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4801 ALBERTA AVE., EL PASO, TX 79905
(915) 545-7507
(915) 545-9799
Mailing address
5130 GATEWAY BLVD E # 51015, EL PASO, TX 79905-1608
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
K9123
TX
2086S0102X
Surgical Critical Care Physician
Primary
K9123
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118064802
—
TX
01
—
83051K
BCBS OF TEXAS
TX
Enumeration date
09/20/2006
Last updated
11/08/2023
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