Individual
ALLISON TEAL MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 CYPRESS CREEK RD APT 415, CEDAR PARK, TX 78613-4448
(512) 985-7694
Mailing address
350 CYPRESS CREEK RD APT 415, CEDAR PARK, TX 78613-4448
(512) 985-7694
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
50161222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50161222
TEXAS CERTIFICATION BOARD
TX
Enumeration date
10/03/2023
Last updated
10/03/2023
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