Individual
DR. TIM MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1104 BROOK AVE, WICHITA FALLS, TX 76301-5049
(940) 687-6870
(940) 687-6870
Mailing address
1104 BROOK AVE, WICHITA FALLS, TX 76301-5049
(940) 687-6870
(940) 687-6870
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
K5350
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1133258-04
—
TX
Enumeration date
01/06/2006
Last updated
10/27/2021
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