Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | N8220 | TX |
N | 208600000X | Surgeon | N8220 | TX |
Y | 2086S0105X | Surgery of the Hand | N8220 | TX |
NPI | 1316156284 |
---|---|
Provider Name | Desirae M Mckee |
First Address | Lubbock, TX 79407-2201 |
Second Address | Lubbock, TX 79424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 15/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00NM005X56 | (05) | NM |
184699101 | FIRSTCARE (01) | TX |
204376201 | (05) | TX |
204376202 | (05) | TX |
22889696 | (05) | NY |
77884736 | (05) | NM |
8CB132 | BCBS TX PPO (01) | TX |
P00808918 | RR MEDICARE (01) | TX |