Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | E2721 | TX |
NPI | 1285608281 |
---|---|
Provider Name | Dr. Joseph F Mcnally JR. |
First Address | Corsicana, TX 75110-2415 |
Second Address | Corsicana, TX 75110-2471 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 05/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00Y226 | MEDICARE GROUP (01) | TX |
120524706 | (05) | TX |
C19221 | (02) | |
DG9311 | RAILROAD MEDICARE GROUP (01) | TX |
P00463093 | RAILROAD MEDICARE (01) | TX |