Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | T0858 | TX |
N | 207RA0201X | Internist - Allergy & Immunology | T0858 | TX |
NPI | 1396107371 |
---|---|
Provider Name | Mark E Mccabe |
First Address | Charlotte, NC 28260-3725 |
Second Address | Tyler, TX 75701-2109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2016 |
Last Update Date | 13/07/2021 |