Doctor Name: | DR. MICHAEL WAYNE MCCOY |
NPI Number: | 1962518191 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D.P.A. |
License Number: | H5589 |
Business Practice Address: | 811 Ira E Woods Ave Grapevine, TX - 760514012 |
Business Phone Number: | 8174813585 |
Business Fax Number: | 8174216529 |
Mailing Address: | 811 Ira E Woods Ave, GRAPEVINE |
State: | TX |
Postal Code: | 760514012 |
Phone Number: | 8174813585 |
Fax Number: | 8174216529 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 12/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | H5589 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |