Provider Demographics
NPI:1982230595
Name:MCCLUNG, ZACHARY DOUGLAS (DPT)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:DOUGLAS
Last Name:MCCLUNG
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 TIMBER DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6628
Mailing Address - Country:US
Mailing Address - Phone:903-276-4247
Mailing Address - Fax:
Practice Address - Street 1:813 TIMBER DR
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6628
Practice Address - Country:US
Practice Address - Phone:903-276-4247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-14
Last Update Date:2021-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1248021225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist