Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | L0864 | TX |
N | 207VX0000X | Obstetrician | L086 | TX |
NPI | 1265482699 |
---|---|
Provider Name | Mr. Orsel Stanley Mcghee III |
First Address | Rockwall, TX 75032-8477 |
Second Address | Rowlett, TX 75088 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 21/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00405M | (02) | TX |
030235801 | (05) | TX |
A92626 | (02) | TX |