# JOHN A MAXEY MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285048116
- **Authorized official:** DR. JOHN ANTHONY MAXEY MD (PRESIDENT)
- **Authorized official phone:** (214) 801-8789

## Contact information

- **Practice address:** 1600 LANCASTER DR, SUITE 101, GRAPEVINE, TX 76051-3579
- **Practice address phone:** (972) 406-3000
- **Practice address fax:** (972) 406-3005
- **Mailing address:** 1600 LANCASTER DR, SUITE 101, GRAPEVINE, TX 76051-3579
- **Mailing address phone:** (972) 406-3000
- **Mailing address fax:** (972) 406-3005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | J1603 | TX | Yes |

## Other

- **Enumeration date:** 06/18/2014
- **Last updated:** 07/12/2014