Individual
DR. DAVID MARK MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5214 S MAIN ST, CROSBY, TX 77532-5825
(281) 328-4888
(281) 328-8345
Mailing address
PO BOX 1969, CROSBY, TX 77532-7969
(281) 328-4888
(281) 328-8345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G0476
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Z953
MEDICARE PIN
TX
Enumeration date
08/09/2005
Last updated
01/14/2009
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