MEDICARE: DR. JOE E MCLEMORE MD

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	207V00000X	Obstetrics & Gynecology Physician	C8371	TX

General Provider Information

NPI Number	:	1912947276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOE E MCLEMORE MD

Provider Business Mailing Address
First Line	:	7737 SOUTHWEST FWY
Second Line	:	SUITE 400
City	:	HOUSTON
State	:	TX
Zip	:	77074-1807
Country	:	US
Telephone Number	:	713-456-5320
Fax Number	:	713-456-4186

Provider Business Practice Location Address
First Line	:	7600 BEECHNUT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-4302
Country	:	US
Telephone Number	:	713-456-4500
Fax Number	:	713-456-4186

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	07/08/2007

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