# MAJESTIC HEALTHCARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Medical Skin Care,LLC, Majestic Healthcare, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467946384
- **Authorized official:** MS. KATHLEEN MCCOY NP (OWNER)
- **Authorized official phone:** (512) 364-2151

## Contact information

- **Practice address:** 110 EISENHOWER CT, GEORGETOWN, TX 78633
- **Practice address phone:** (512) 364-2151
- **Mailing address:** 110 EISENHOWER CT, GEORGETOWN, TX 78633-5471
- **Mailing address phone:** (512) 364-2151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | AP119783 | TX | — |
| 363LP2300X | Primary Care Nurse Practitioner | AP119783 | TX | Yes |

## Other

- **Enumeration date:** 06/15/2018
- **Last updated:** 08/13/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1679719926 | INSURANCE | TX |