Individual
DR. JOHN CHRISTOPHER MCCLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 E MARSHALL AVE STE 5008, LONGVIEW, TX 75601-5557
(903) 315-4880
Mailing address
1201 N 18TH ST, ABILENE, TX 79601-2932
(325) 793-3100
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L9347
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166250103
—
TX
01
—
1N5299
MEDICARE RAILROAD
TX
01
—
8W2103
BCBS
TX
Enumeration date
03/31/2006
Last updated
12/18/2024
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