Organization
JOHN A. MAXEY MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A. MAXEY (PHYSICIAN/ OWNER)
(972) 406-3000
Entity
Organization
Contact information
Practice address
701 TUSCAN STE 205, IRVING, TX 75039-3838
(972) 406-3000
(972) 406-3005
Mailing address
701 TUSCAN STE 205, IRVING, TX 75039-3838
(972) 406-3000
(972) 406-3005
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
J1603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105336503
—
TX
Enumeration date
07/25/2006
Last updated
07/17/2008
Update your record
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