Mclean, Michael Roy
Mclean, Michael Roy is an sole proprietor health care provider with primary practice located at 1300 N Mound St , Nacogdoches TX 75961-4029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mclean, Michael Roy can be contacted via phone (936) 560-2990.Contact Information
Primary practice address
1300 N Mound St
Nacogdoches TX 75961-4029
Phone: (936) 560-2990
Fax: (936) 560-5734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | E2718 | Texas |
Profile Details
| NPI number | 1811911662 |
|---|---|
| LBN Legal business name | Mclean, Michael Roy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 22nd, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811911662 | NPPES |
| Texas | Other | 81K363 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 0825200-01 | BLUE CROSS BLUE SHIELD |
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