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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811911662 NPPES
Texas Other 81K363 BLUE CROSS BLUE SHIELD
Texas MEDICAID 0825200-01 BLUE CROSS BLUE SHIELD

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