Provider Demographics
NPI:1790993475
Name:MCCLEAN, JEFFREY CARLYLE II (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:CARLYLE
Last Name:MCCLEAN
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:3551 ROGER BROOKE DR
Mailing Address - Street 2:SAMMC NEUROLOGY
Mailing Address - City:FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-373-2047
Mailing Address - Fax:210-916-3833
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:SAMMC NEUROLOGY
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-373-2047
Practice Address - Fax:210-916-3833
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2013-06-05
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Provider Licenses
StateLicense IDTaxonomies
NE242192084N0400X, 2084N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine