Provider Demographics
NPI:1700069838
Name:CLAUDE A MCLELLAND MD
Entity Type:Organization
Organization Name:CLAUDE A MCLELLAND MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCLELLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-855-3000
Mailing Address - Street 1:PO BOX 6776
Mailing Address - Street 2:3301 S ALAMEDA #506
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411
Mailing Address - Country:US
Mailing Address - Phone:361-855-3000
Mailing Address - Fax:361-855-0423
Practice Address - Street 1:3301 S ALAMEDA
Practice Address - Street 2:#506
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411
Practice Address - Country:US
Practice Address - Phone:361-855-3000
Practice Address - Fax:361-855-0423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE1794207Y00000X, 207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & NeurotologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8631BMedicare PIN
TXB24771Medicare UPIN
TX00664TMedicare UPIN