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NPI Code Detail

MEDICARE: DR. MICHAEL MCCLAM M. D.

MEDICARE: DR. MICHAEL MCCLAM 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
12084P0800XPsychiatry PhysicianM1917TX

General Provider Information

NPI Number : 1750461505
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL MCCLAM M. D.
Provider Business Mailing Address
First Line : 7119 MIDNIGHT PASS
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-4758
Country : US
Telephone Number : 281-778-1920
Fax Number :
Provider Business Practice Location Address
First Line : 12301 MAIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77035-6207
Country : US
Telephone Number : 713-275-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 05/10/2013

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Directions to “ DR. MICHAEL MCCLAM M. D.” Practice Location

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