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Individual

DEE G MCCRARY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4101 WESLEY ST, STE C, GREENVILLE, TX 75401-5635
(903) 454-8111
(903) 454-1680
Mailing address
4101 WESLEY ST STE C, GREENVILLE, TX 75401-5635
(903) 454-8111
(903) 454-1680

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4513
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00332V
MEDICARE GROUP #
TX
05
133516809
TX
01
80166325
RAILROAD MEDICARE
TX
01
8J1200
BCBS OF TEXAS
TX
Enumeration date
05/31/2005
Last updated
02/19/2018
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