Organization Active NPI

Tamre B. McClelland MD PA

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1750564431
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H6419 Issued in TX
Legal business name
TAMRE B. MCCLELLAND MD PA
Practice address
1919 Oakwell Farms Pkwy
Suite 125
San Antonio, TX 78218-1777
Phone
(210) 804-0101
Fax
(210) 804-0201
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tamre B McClelland, MD
Title
President
Phone
(210) 804-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H6419 TX Primary

Addresses

Primary practice location

1919 Oakwell Farms Pkwy
Suite 125
San Antonio, TX 78218-1777

Mailing address

1919 Oakwell Farms Pkwy
Suite 125
San Antonio, TX 78218-1777
Phone (210) 804-0101

Other identifiers 1

IdentifierTypeStateIssuer
0089DEOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

1919 Oakwell Farms Pkwy
Ste 140
San Antonio, TX 78218
Phone (210) 804-0101

5307 Broadway
Ste 150
San Antonio, TX 78209
Phone (210) 804-0232

1919 Oakwell Farms Pkwy
#14
San Antonio, TX 78218
Phone (210) 804-0101

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1750564431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 OAKWELL FARMS PKWY",
            "address_2": "SUITE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181777",
            "telephone_number": "210-804-0101",
            "fax_number": "210-804-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 OAKWELL FARMS PKWY",
            "address_2": "SUITE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181777",
            "telephone_number": "210-804-0101",
            "fax_number": "210-804-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMRE B. MCCLELLAND MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAND",
        "authorized_official_first_name": "TAMRE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-804-0101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0089DE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.