Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | L6520 | TX |
NPI | 1245255363 |
---|---|
Provider Name | Dr. Maureen Mcgeehan |
First Address | Richardson, TX 75080-3620 |
Second Address | Richardson, TX 75080-3620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 19/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0090KH | BCBS (01) | TX |
7909557 | AETNA (01) | TX |
BM6046292 | DEA (01) | |
H89480 | (02) | TX |
L6520 | LICENSE (01) | TX |