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Individual

CLAYTON A MCCUAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
810 W HIGHWAY 71, MARBLE FALLS, TX 78654-8602
(830) 201-7100
(830) 201-7336
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N5854
TX
208M00000X
Hospitalist Physician
N5854
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
215957601
TX
05
215957602
TX
05
215957603
TX
Enumeration date
08/14/2007
Last updated
02/17/2023
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