Organization
D M MCCLELLAN MD PA
Active
Other names
LAKE HOUSTON FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MARK MCCLELLAN MD (MEDICAL DOCTOR)
(281) 328-4888
Entity
Organization
Contact information
Practice address
5214 S MAIN ST, CROSBY, TX 77532-5825
(281) 328-4888
(281) 328-8345
Mailing address
P O 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
—
8F9345
MEDICARE PIN
TX
Enumeration date
08/27/2008
Last updated
01/14/2009
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