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Organization
MICHAEL W. MCSHAN, M.D., P.A.
Active
Organization
MICHAEL W. MCSHAN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W MCSHAN M.D. (PRESIDENT)
(903) 983-1578
Entity
Organization
Contact information
Practice address
1711 S HENDERSON BLVD, SUITE 300, KILGORE, TX 75662-3563
(903) 983-1578
Mailing address
1711 S HENDERSON BLVD, SUITE 300, KILGORE, TX 75662-3563
(903) 983-1578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4519
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130926203
—
TX
Enumeration date
02/03/2012
Last updated
02/03/2012
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