Mcclellan, Cynthia

Mcclellan, Cynthia is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Mcclellan, Cynthia can be contacted via phone (903) 525-1913.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701-2036
Phone: (903) 525-1913
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 635040 Texas

Profile Details

NPI number 1487809273
LBN Legal business name Mcclellan, Cynthia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2008
Last updated Nov 13th, 2019 - about 5 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 1487809273 NPPES
Texas MEDICAID 198399103
Texas MEDICAID 198399104
Texas Other TIN PLUS 042
Texas Other 8Y9301

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