MEDICARE: JENNIFER RILEY MCLELAND M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD210012293	DC
2	207V00000X	Obstetrics & Gynecology Physician	0101278931	VA
3	207V00000X	Obstetrics & Gynecology Physician	D97975	MD
4	207V00000X	Obstetrics & Gynecology Physician	338644	LA
5	207V00000X	Obstetrics & Gynecology Physician	Q3552	TX

General Provider Information

NPI Number	:	1619220134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER RILEY MCLELAND M.D.

Provider Business Mailing Address
First Line	:	12828 WILLOW CENTRE DR STE D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77066-3043
Country	:	US
Telephone Number	:	646-895-3946
Fax Number	:

Provider Business Practice Location Address
First Line	:	12828 WILLOW CENTRE DR STE D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77066-3043
Country	:	US
Telephone Number	:	817-733-5245
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2012
Last Update Date	:	11/20/2023

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