Doctor Name: | JAMES A MCKINNEY |
NPI Number: | 1861571614 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | N3174 |
Business Practice Address: | 14008 Shadowglen Blvd Suite 202 Manor, TX - 78653 |
Business Phone Number: | 5123143834 |
Business Fax Number: | |
Mailing Address: | Po Box 938, KILLEEN |
State: | TX |
Postal Code: | 765400938 |
Phone Number: | 2546346999 |
Fax Number: | 2542004099 |
NPI Enumeration Date: | 11/03/2006 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | N3174 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |