| Dr. Joan Mcclary's Medical Clinic | |
|
1612 Austin Ave Ste. C Waco TX 76701-1714 | |
| (254) 757-3774 | |
| (254) 757-0141 |
| Full Name | Dr. Joan Mcclary's Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1612 Austin Ave, Waco, Texas |
| Authorized Official Name and Position | Joan Marie Mcclary (OWNER) |
| Authorized Official Contact | 2547573774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Joan Mcclary's Medical Clinic 1612 Austin Ave Suite C Waco TX 76701-1714 Ph: (254) 757-3774 | Dr. Joan Mcclary's Medical Clinic 1612 Austin Ave Ste. C Waco TX 76701-1714 Ph: (254) 757-3774 |
| NPI Number | 1619045093 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 07/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619045093 | NPI | - | NPPES |
| 137976010 | Medicaid | TX | |
| 137976004 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H4532 (Texas) | Primary |
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