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Individual

CLIFTON B O'MEARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1904 RAILROAD ST, GEORGETOWN, TX 78626-7718
(512) 863-4563
(512) 869-5899
Mailing address
1904 RAILROAD ST, GEORGETOWN, TX 78626-7718
(512) 863-4563
(512) 869-5899

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J5852
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200041316
RAILROAD MEDICARE
TX
Enumeration date
05/19/2006
Last updated
12/28/2007
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