MARY L. MCLELLAN (RD) – Registered Dietitian, NPI 1487617759

Registered Dietitian

MARY L. MCLELLAN (RD) is a healthcare provider. based in Dallas, Texas. specializing in Registered Dietitian. They hold the professional credentials RD. They hold a License No. DT03391 (TX). The NPI Number for MARY L. MCLELLAN (RD) is 1487617759

Main info

Female

55 Years Of Experience

Accepts Medicare Assignment

Name

MARY L. MCLELLAN (RD)

NPI

1487617759

Phone

Not provided

Address

PO BOX 844658

Enumeration Date

8 April 2006

Last Update Date

25 January 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2542150100

Graduation Year

1971 (55 years ago)

PAC ID

1850323155

Group Practice PAC ID

8123923604

Professional Enrollment ID

I20050907001220

Contacts

Secure Messaging

mmclellan31709@direct.sw.org

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness85

Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MARY L. MCLELLAN (RD)

Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752844658
Phone:
Type: Mailing
1605, South 31st Street, Temple, Bell County, Texas, 76504, United States
TEMPLE, TX 765080001
Phone: (254) 215-0100
Fax: (254) 215-0636
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75284)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8123923604View full group profile

Name	Specialty	State
MICHAL J. WOLSKI (MD)	Radiation Oncology	TX
DR. DAVID L. SCOTT (M.D., P.H.D.)	U R O L O G Y	TX
GRACE NG (M.D.)	General Surgery	OK
VERONICA RESENDEZ (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TX
CHRISTINA NANETTE KEITH	-	TX
SAMUEL KELLY	Anesthesiology Assistant	TX
VU NGUYEN	-	TX
DR. STEVEN R. ALLEN (M.D.)	-	TX
DR. CARL ANTHONY DUNN (M.D.)	O B S T E T R I C S/ G Y N E C O L O G Y	TX
ANN E. SIENKIEL (CNS/ANP)	-	TX