Individual
JOHNATHAN E MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3334 N TOWN EAST BLVD, MESQUITE, TX 75150-3858
(972) 279-0090
(972) 279-0090
Mailing address
2850 SHORELINE TRL, ROCKWALL, TX 75032-5513
(469) 273-3395
(469) 273-3396
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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