Douglas McClellan, DC
Individual provider Active NPI Chiropractor · Gunter, TX
NPI 1962832311 · NPPES record last updated Feb 26, 2024
Key facts
- NPI
- 1962832311
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 12486 (TX)
- Practice address
- 110 S 4TH St
Suite 102
Gunter, TX 75058 - Phone
- (214) 477-7626
- NPI assigned
- Nov 22, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12486 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gunter Chiropractic, PLLC | Current |
Accepting new patients | |
| Prosper Chiropractic and Wellness P.C. | Chiropractor | Past |
Accepting new patients |
Locations
110 S 4th St
Ste 102
Gunter, TX 75058
Phone (214) 477-7626
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12486 | TX | Yes |
Addresses
Primary practice location
110 S 4TH St
Suite 102
Gunter, TX 75058
Mailing address
110 S 4TH St
Suite 102
Gunter, TX 75058
Phone (214) 477-7626
Other providers in Gunter, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.