Individual
CLINTON MCGEHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 E HOUSTON ST, SUITE 550, TYLER, TX 75702-8369
(903) 592-7393
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K2071
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179763101
—
TX
01
—
752616977015
TRICARE
TX
Enumeration date
03/13/2007
Last updated
09/04/2024
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