Individual
CLAY MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1814 ROSELAND BLVD, TYLER, TX 75701-4234
(903) 525-3300
Mailing address
114 SAINT ANDREWS CIR, HIDEAWAY, TX 75771-5056
(903) 539-8730
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2139359
TX
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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