Dr. Joan Mcclary'S Medical Clinic

LBN: Joan Mcclary
Dr. Joan Mcclary'S Medical Clinic is an health care organization with primary practice located at 1612 Austin Ave Ste. C, Waco TX 76701-1714. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Joan Mcclary can be contacted via phone (254) 757-3774, or through Mcclary, Joan Marie via phone (254) 757-3774.

Contact Information

Primary practice address
1612 Austin Ave Ste. C Waco TX 76701-1714
Phone: (254) 757-3774
Fax: (254) 757-0141
Website:
Map and Directions
Authorized official contact:
Name: Mcclary, Joan Marie Doctor of Medicine (MD)
Phone: (254) 757-3774

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X H4532 Texas

Profile Details

NPI number 1619045093
LBN Legal business name Joan Mcclary
DBA Doing business as Dr. Joan Mcclary'S Medical Clinic
Authorized official Mcclary, Joan Marie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 7th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619045093 NPPES
Texas MEDICAID 137976010
Texas MEDICAID 137976004

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