Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 1299103 | TX |
NPI | 1003329764 |
---|---|
Provider Name | Mrs. Kaycee Mcelwee |
First Address | Austin, TX 78744-2221 |
Second Address | Austin, TX 78704-7144 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2017 |
Last Update Date | 15/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1299103 | TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS (01) | TX |