MEDICARE: ANN MCLEAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1568934222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN MCLEAN

Provider Business Mailing Address
First Line	:	4614 BELLE PARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-1820
Country	:	US
Telephone Number	:	281-498-4933
Fax Number	:	281-806-5952

Provider Business Practice Location Address
First Line	:	4614 BELLE PARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-1820
Country	:	US
Telephone Number	:	281-498-4933
Fax Number	:	281-806-5952

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2018
Last Update Date	:	12/19/2018

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Directions to “ ANN MCLEAN ” Practice Location

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