Provider Demographics
NPI:1568294585
Name:MCCELLAN & JAMES CCM, LLC
Entity type:Organization
Organization Name:MCCELLAN & JAMES CCM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANATHONY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BASEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-924-8330
Mailing Address - Street 1:2068 TEJAS PECAN
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5096
Mailing Address - Country:US
Mailing Address - Phone:512-297-0713
Mailing Address - Fax:512-331-0713
Practice Address - Street 1:600 N UNION AVE
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4194
Practice Address - Country:US
Practice Address - Phone:830-606-9111
Practice Address - Fax:210-704-4465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty