Mclellan, Mary L.

Mclellan, Mary L. is an individual health care provider with primary practice located at 1605 S 31St Street , Temple TX 76508-0001. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mclellan, Mary L. can be contacted via phone (254) 215-0100.

Contact Information

Primary practice address
1605 S 31St Street Temple TX 76508-0001
Phone: (254) 215-0100
Fax: (254) 215-0636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT03391 Texas

Profile Details

NPI number 1487617759
LBN Legal business name Mclellan, Mary L.
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jan 25th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487617759 NPPES
Texas Other 8U3091 BLUE SHIELD

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