Individual
MARIAH M MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9505 FREDERICKSBURG RD, SAN ANTONIO, TX 78240-4284
(315) 725-5081
Mailing address
7126 LUNAR ECLIPSE, CONVERSE, TX 78109-3827
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2183827
TX
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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