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Individual

DR. MATTHEW LAWRENCE MCCLURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
21 SPURS LN, SUITE 240, SAN ANTONIO, TX 78240-1669
(210) 690-0777
(210) 690-0779
Mailing address
21 SPURS LN, SUITE 240, SAN ANTONIO, TX 78240-1669
(210) 690-0777
(210) 690-0779

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
P6031
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
P6031
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
326296601
TX
01
326296602
CSHCN
TX
Enumeration date
04/14/2009
Last updated
05/20/2024
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