Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | P2898 | TX |
Y | 207SG0201X | Clinical Genetics (M.D.) | P2898 | TX |
NPI | 1679893010 |
---|---|
Provider Name | Dr. Markey Carden Mcnutt II |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-8872 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2010 |
Last Update Date | 29/09/2020 |