Individual
GREGORY J MCCLELLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
11111 RESEARCH BLVD, SUITE 300, AUSTIN, TX 78759-5264
(512) 380-9200
(512) 380-9201
Mailing address
11111 RESEARCH BLVD STE 300, AUSTIN CHILDREN'S CHEST ASSOCIATES, AUSTIN, TX 78759-5792
(512) 380-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323738001
—
TX
05
—
323738002
—
TX
Enumeration date
12/06/2006
Last updated
02/12/2014
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