Provider Demographics
NPI:1326124710
Name:MCLEAN, DANIEL P (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:P
Last Name:MCLEAN
Suffix:
Gender:M
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:PO BOX 3046
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-0746
Mailing Address - Country:US
Mailing Address - Phone:484-913-7434
Mailing Address - Fax:484-913-7587
Practice Address - Street 1:1801 S 5TH ST STE 207
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-2932
Practice Address - Country:US
Practice Address - Phone:956-631-0393
Practice Address - Fax:956-682-4689
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7827204F00000X, 2086S0127X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0033PAOtherPA
TX030946002Medicaid
TXP00205624OtherRAILROAD
TX030946001Medicaid
TX030946003Medicaid
TX030946004Medicaid
TXP00933298OtherRAILROAD
TX8S4851OtherBCBS
TX020047845OtherRAILROAD
TX8F23718Medicare PIN
TX020047845OtherRAILROAD
TXH03547Medicare UPIN
TX030946001Medicaid