Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 424 | OK |
NPI | 1003808031 |
---|---|
Provider Name | Dr. Austin John Mcbee |
First Address | Oklahoma City, OK 73112-2324 |
Second Address | Oklahoma City, OK 73112-2324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
114586 | MANAGED HEALTH NET ID (01) | |
393704 | VALUE OPTIONS (01) | |
5350314 | AETNA US HEALTCARE ID (01) | OK |