Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 25 | TX |
N | 222Z00000X | Podiatrist | 25 | TX |
N | 224P00000X | Prosthetist | 25 | TX |
NPI | 1104976182 |
---|---|
Provider Name | Bruce Patrick Mcclellan |
First Address | Tyler, TX 75702-8414 |
Second Address | Tyler, TX 75702-8414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 08/07/2007 |