MEDICARE: MEREDITH ANN MCCLURE M.D.

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	M6283	TX

General Provider Information

NPI Number	:	1033329917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEREDITH ANN MCCLURE M.D.

Provider Business Mailing Address
First Line	:	7 GETTYSBURG LN
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-2300
Country	:	US
Telephone Number	:	214-587-4380
Fax Number	:

Provider Business Practice Location Address
First Line	:	14850 MONTFORT DR STE 181
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-1450
Country	:	US
Telephone Number	:	469-991-1485
Fax Number	:

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	01/02/2025

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