Provider Demographics
NPI:1730112780
Name:MCLAUCHLAN, GAIL (MD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:
Last Name:MCLAUCHLAN
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 1:221 W COLORADO BLVD STE 730
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-2357
Mailing Address - Country:US
Mailing Address - Phone:214-941-5200
Mailing Address - Fax:214-948-8870
Practice Address - Street 1:221 W COLORADO BLVD STE 730
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-2357
Practice Address - Country:US
Practice Address - Phone:214-941-5200
Practice Address - Fax:214-948-8870
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0346207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8X7901OtherBCBS
TX8J1777Medicare PIN
TXG76132Medicare UPIN
TX8X7901OtherBCBS
TXP00397514Medicare PIN