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Individual

WILLIE CLARENCE MCKINNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11278 STIRTON DR, TOMBALL, TX 77375-2390
(469) 271-8649
Mailing address
11278 STIRTON DR, TOMBALL, TX 77375-2390
(469) 271-8649

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
36274279
TX

Other

Enumeration date
04/01/2024
Last updated
04/01/2024
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