MEDICARE: BRIAN MCCLEARY

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	104100000X	Social Worker	106388	TX

General Provider Information

NPI Number	:	1699568626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN MCCLEARY

Provider Business Mailing Address
First Line	:	22022 EMERALD RUN LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-6353
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11929 UNIVERSITY BLVD STE B
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4755
Country	:	US
Telephone Number	:	281-829-8431
Fax Number	:	281-946-8474

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

Provider Enumeration Date	:	05/23/2025
Last Update Date	:	05/23/2025

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Directions to “ BRIAN MCCLEARY ” Practice Location

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