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Individual

DR. POLAWYN CLAIRE MCKINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1631 E 2ND ST, BUILDING D, AUSTIN, TX 78702-4490
(512) 472-4357
(512) 476-1469
Mailing address
1631 E 2ND ST, BUILDING D, AUSTIN, TX 78702-4490
(512) 472-4357
(512) 476-1469

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N9602
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3864783216
MYUTMB 3864783216
Enumeration date
08/05/2007
Last updated
07/06/2011
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