Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | Q4202 | TX |
Y | 207XS0117X | Orthopaedic Spine Surgeon | Q4202 | TX |
NPI | 1154619971 |
---|---|
Provider Name | John C Mcelroy |
First Address | Flower Mound, TX 75028-2783 |
Second Address | Flower Mound, TX 75028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2011 |
Last Update Date | 25/03/2021 |