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Contact Information

RUSSELL L MCCLELLAN, MD
3000 HERRING AVENUE
WACO, TX76708
 Phone: 254-202-2000
 Fax: 254-753-6229
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for RUSSELL L MCCLELLAN · (Male)

NPI Number 1679507768
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 05/14/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • TX License # G8913
  • TX Medicaid 102370701
  • TX Medicaid 102370703
Hospital affiliation(s)
  • FALLS COMMUNITY HOSPITAL AND CLINIC - (Acute Care)
    322 COLEMAN STREET
    MARLIN, TX 76661
  • HILLCREST BAPTIST MEDICAL CENTER - (Acute Care)
    100 HILLCREST MEDICAL BLVD
    WACO, TX 76712
  • PARKVIEW REGIONAL HOSPITAL - (Acute Care)
    600 SOUTH BONHAM STREET
    MEXIA, TX 76667
  • SCOTT & WHITE MEMORIAL HOSPITAL - (Acute Care)
    2401 31ST ST
    TEMPLE, TX 76508
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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