Mary Dorgant Mcclean, MD | |
20320 Northwest Fwy, Houston, TX 77065-5641 | |
(346) 437-0400 | |
(346) 437-0404 |
Full Name | Mary Dorgant Mcclean |
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Gender | Female |
Speciality | Dermatology |
Location | 20320 Northwest Fwy, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356784011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | R3656 (Texas) | Secondary |
207N00000X | Dermatology | R3656 (Texas) | Primary |
Entity Name | Advanced Dermatology And Skin Care Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710917521 PECOS PAC ID: 4385540111 Enrollment ID: O20031211000257 |
Entity Name | Bayou City Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376014464 PECOS PAC ID: 3577801554 Enrollment ID: O20190218001137 |
Mailing Address | Practice Location Address |
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Mary Dorgant Mcclean, MD 20320 Northwest Fwy, Jersey Village, TX 77065-5641 Ph: () - | Mary Dorgant Mcclean, MD 20320 Northwest Fwy, Houston, TX 77065-5641 Ph: (346) 437-0400 |
Stephanie Jacks, Dermatology Medicare: Medicare Enrolled Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Dr. Ida Francesca Orengo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1977 Butler Blvd Ste E6.200, Houston, TX 77030 Phone: 713-798-7620 Fax: 713-798-3252 | |
Madeleine Duvic, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 6655 Travis St, 600, Houston, TX 77030 Phone: 713-500-8260 | |
Jimmy D Schmidt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 819 Peakwood Dr, Houston, TX 77090 Phone: 281-444-1288 Fax: 281-444-9177 | |
Robert Lin, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2222 Greenhouse Rd Ste 1000, Houston, TX 77084 Phone: 832-437-1763 Fax: 855-751-8050 | |
Neda Nosrati, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 7575 San Felipe St Ste 300, Houston, TX 77063 Phone: 713-952-8400 Fax: 713-952-9448 | |
Dr. Erik Thomas Petersen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 915 Gessner Rd Ste 640, Houston, TX 77024 Phone: 713-984-0010 Fax: 713-984-0067 |