Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A98517 | CA |
Y | 208600000X | Surgeon | A98517 | CA |
N | 2086S0102X | Surgical Critical Care | A98517 | CA |
N | 2086S0127X | Trauma Surgeon | A98517 | CA |
NPI | 1174783096 |
---|---|
Provider Name | Dr. Victor Wayne Mccray |
First Address | Fresno, CA 93721-1431 |
Second Address | Fresno, CA 93721-1324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2008 |
Last Update Date | 08/11/2021 |