Shaun Patrick Mckenzie
Surgical Oncologist
4101 James Casey St Ste 100
Austin
, Texas 78745-1145
Shaun Patrick Mckenzie
Surgical Oncologist
4101 James Casey St Ste 100
Austin
, Texas 78745-1145
(972) 234-2987
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About
Features
Specialties
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Shaun Patrick Mckenzie
- Po Box 911230
- Dallas, TX
- Zip : 75391-1230
- Fax : (972) 234-2987
- Phone : (972) 997-8000
Second Address
- Shaun Patrick Mckenzie
- 4101 James Casey St Ste 100
- Austin, TX
- Zip : 78745-1145
- Phone : (512) 421-4250
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Is Shaun Patrick Mckenzie a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086X0206X | Surgical Oncologist | 43479 | KY |
| Y | 2086X0206X | Surgical Oncologist | P6220 | TX |
National Provider Identifier
| NPI | 1114189933 |
|---|---|
| Provider Name | Shaun Patrick Mckenzie |
| First Address | Dallas, TX 75391-1230 |
| Second Address | Austin, TX 78745-1145 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2008 |
| Last Update Date | 05/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 330383602 | (05) | TX |
| 330383603 | (05) | TX |
| 330383604 | (05) | TX |
| 330383605 | (05) | TX |
| P01867717 | RAILROAD (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.