Bryan Lee Mccoy is a Medical in Fort Worth, Texas. Bryan Lee Mccoy practices all healthcare services and medical treatments related to Medical. The NPI Number for Bryan Lee Mccoy is 1225014897. The last update date is 2007-07-08.
Bryan Lee Mccoy's current location address is 1711 Doolittle Ave, Fort Worth, Texas. You can contact this provider via phone number 8177825913. The mailing address for Bryan Lee Mccoy is 1711 Doolittle Ave, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Lee Mccoy |
|---|---|
| Address | 1711 Doolittle Ave, Fort Worth, Texas |
| Phone Number | 8177825913 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1225014897 |
|---|---|
| Provider Enumeration Date | 2005-12-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1711 Doolittle Ave |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761271133 |
| Phone Number | 8177825913 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA02987 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the Bryan Lee Mccoy's 1225014897?
The Bryan Lee Mccoy's NPI (National Provider Identifier) Number is 1225014897. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bryan Lee Mccoy located?
The Bryan Lee Mccoy is located at 1711 Doolittle Ave, Fort Worth, TX 761271133.
What is Bryan Lee Mccoy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bryan Lee Mccoy is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Bryan Lee Mccoy receive the assignment of its 1225014897 from the Centers for Medicare & Medicaid Services?
The Bryan Lee Mccoy was issued its 1225014897 by the Centers for Medicare & Medicaid Services on 2005-12-15.
As of what date was the information regarding Bryan Lee Mccoy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bryan Lee Mccoy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.