Individual
JOHN OWEN MCCLUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10965 BEN CRENSHAW DR BLDG 1, EL PASO, TX 79935-3021
(915) 594-4000
Mailing address
10965 BEN CRENSHAW DR BLDG 1, EL PASO, TX 79935-3021
(915) 594-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09417
TX
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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