Provider Demographics
NPI:1033329917
Name:MCCLURE, MEREDITH ANN (MD)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ANN
Last Name:MCCLURE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4461 COIT RD STE 205
Mailing Address - Street 2:CENTENNIAL MEDICAL CENTER PAVILION II
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0524
Mailing Address - Country:US
Mailing Address - Phone:972-731-9299
Mailing Address - Fax:
Practice Address - Street 1:4461 COIT RD STE 205
Practice Address - Street 2:CENTENNIAL MEDICAL CENTER PAVILION II
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-0524
Practice Address - Country:US
Practice Address - Phone:972-731-9299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6283207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology