Mcclellan, Ross K
Mcclellan, Ross K is an individual health care provider with primary practice located at 3501 Knickerbocker Rd , San Angelo TX 76904-7610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mcclellan, Ross K can be contacted via phone (325) 949-9555.Contact Information
Primary practice address
3501 Knickerbocker Rd
San Angelo TX 76904-7610
Phone: (325) 949-9555
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G8268 | Texas |
Profile Details
NPI number | 1437116514 |
---|---|
LBN Legal business name | Mcclellan, Ross K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 1st, 2006 |
Last updated | Dec 5th, 2018 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437116514 | NPPES |
Texas | Other | 81669S | BLUE CROSS/BLUE SHIELD TX |
Texas | MEDICAID | 137100709 | BLUE CROSS/BLUE SHIELD TX |
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