National Provider Identifier Database

RUSSELL L MCCLELLAN, MD – NPI #1679507768
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

RUSSELL L MCCLELLAN, MD
3000 HERRING AVENUE
WACO, TX76708
Phone: 254-202-2000
Fax: 254-753-6229
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for RUSSELL L MCCLELLAN

NPI Number 1679507768
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 05/14/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • TX License #: G8913
  • TX Medicaid: 102370701
  • TX Medicaid: 102370703
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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