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1760751788 NPI number — TONY S. MCCLUNG, M.D.,P.A.

NPI Number: 1760751788
Health Care Provider/Practitioner: TONY S. MCCLUNG, M.D.,P.A.

Information about “1760751788” NPI (TONY S. MCCLUNG, M.D.,P.A.) exists in 1760751788 in HTML format HTML  |  1760751788 in plain Text format TXT  |  1760751788 in PDF (Portable Document Format) PDF  |  1760751788 in an XML format XML  formats.

NPI Number : 1760751788 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760751788",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TONY S. MCCLUNG, M.D.,P.A.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1213 HERMANN DRIVE",
    "SecondLineMailingAddress": "SUITE 520",
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77004-7011",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-528-3444",
    "MailingAddressFaxNumber": "713-528-4434",
    "FirstLinePracticeLocationAddress": "1213 HERMANN DR",
    "SecondLinePracticeLocationAddress": "SUITE 520",
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77004-7018",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-528-3444",
    "PracticeLocationAddressFaxNumber": "713-528-4434",
    "EnumerationDate": "12/20/2011",
    "LastUpdateDate": "12/20/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCCLUNG",
    "AuthorizedOfficialFirstName": "TONY",
    "AuthorizedOfficialMiddleName": "SPURGEON",
    "AuthorizedOfficialTitle": "PHYSICIAN/OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "713-528-3444",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208800000X",
        "TaxonomyName": "Urology Physician",
        "LicenseNumber": "E6138",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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