Mcclellan, Tim
Mcclellan, Tim is an individual health care provider with primary practice located at 1104 Brook Ave , Wichita Falls TX 76301-5049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mcclellan, Tim can be contacted via phone (940) 687-6870.Contact Information
Primary practice address
1104 Brook Ave
Wichita Falls TX 76301-5049
Phone: (940) 687-6870
Fax: (940) 687-6870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | K5350 | Texas |
Profile Details
| NPI number | 1447238670 |
|---|---|
| LBN Legal business name | Mcclellan, Tim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Oct 27th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447238670 | NPPES |
| Texas | MEDICAID | 1133258-04 |
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