Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | H6397 | TX |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | H6397 | TX |
NPI | 1336211887 |
---|---|
Provider Name | Kevin Paul Magee |
First Address | Dallas, TX 75219-8524 |
Second Address | Dallas, TX 75246-1713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 13/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
18009916 | (05) | TX |
E76709 | (02) |