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D M MCCLELLAN MD PA NPI 1750538187


NPI Information

NPI: 1750538187
Provider Name: D M MCCLELLAN MD PA

Doing Business As: LAKE HOUSTON FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5214 S MAIN ST
CROSBY, TX
ZIP 77532
Phone: (281) 328-4888
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D M MCCLELLAN MD PA is a family medicine in Crosby, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. D M MCCLELLAN MD PA NPI is 1750538187. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lake Houston Family Practice.

The provider's business location address is:

5214 S MAIN ST
CROSBY, TX
ZIP 77532-825
Phone: (281) 328-4888
Fax: (281) 328-8345

The provider's authorized official is David Mark Mcclellan .
The authorized official title is Medical Doctor and has the following contact phone number (281) 328-4888.

The enumeration date for this NPI number is 8/27/2008 and was last updated on 1/14/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineG0476TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100Z953MEDICARE PINTEXAS
28F9345OTHERTEXASMEDICARE PIN
3B24709MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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