Provider Demographics
NPI:1881106607
Name:YOURFAMILYDOC PLLC
Entity type:Organization
Organization Name:YOURFAMILYDOC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:BYRON
Authorized Official - Last Name:MCCLAIN
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:936-225-2956
Mailing Address - Street 1:1607 ARROWHEAD DR
Mailing Address - Street 2:
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-3012
Mailing Address - Country:US
Mailing Address - Phone:936-225-2956
Mailing Address - Fax:
Practice Address - Street 1:903 MEDICAL CENTRE DR STE A
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4754
Practice Address - Country:US
Practice Address - Phone:936-225-2956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-02
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8665207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty