Matthew Bruce Mcclellan
Podiatrist Prosthetist
1122 E Front St
Tyler
, Texas 75702-8414
Matthew Bruce Mcclellan
Podiatrist Prosthetist
1122 E Front St
Tyler
, Texas 75702-8414
(903) 595-3862
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- Matthew Bruce Mcclellan
- 1122 E Front St
- Tyler, TX
- Zip : 75702-8414
- Fax : (903) 595-3862
- Phone : (903) 592-6574
Second Address
- Matthew Bruce Mcclellan
- 1122 E Front St
- Tyler, TX
- Zip : 75702-8414
- Fax : (903) 595-3862
- Phone : (903) 592-6574
Reviews
FAQs
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What type of doctor is Matthew Bruce Mcclellan
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What is Matthew Bruce Mcclellan ’s gender?
Is Matthew Bruce Mcclellan a sole practitioner?
Is Matthew Bruce Mcclellan accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 2047 | TX |
| N | 222Z00000X | Podiatrist | 2047 | TX |
| Y | 224P00000X | Prosthetist | 2047 | TX |
National Provider Identifier
| NPI | 1073134177 |
|---|---|
| Provider Name | Matthew Bruce 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 | 29/04/2020 |
| Last Update Date | 29/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.