| Charles M Mcclean Do Pa | |
|
3600 Matlock Rd 106 Arlington TX 76015-3679 | |
| (817) 557-1900 | |
| (817) 557-1942 |
| Full Name | Charles M Mcclean Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3600 Matlock Rd, Arlington, Texas |
| Authorized Official Name and Position | Charles M Mcclean (OWNER) |
| Authorized Official Contact | 8175571900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles M Mcclean Do Pa 3600 Matlock Rd 106 Arlington TX 76015-3679 Ph: (817) 557-1900 | Charles M Mcclean Do Pa 3600 Matlock Rd 106 Arlington TX 76015-3679 Ph: (817) 557-1900 |
| NPI Number | 1093017964 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 06/09/2011 |
| Medicare PECOS PAC ID | 9032396288 |
|---|---|
| Medicare Enrollment ID | O20110615000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093017964 | NPI | - | NPPES |
| 033813901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | J0590 (Texas) | Primary |
| Provider Name | Charles Mcclean |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144272071 PECOS PAC ID: 6204013451 Enrollment ID: I20110615000710 |
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