Individual
JOHN A MOHNICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3014 N O CONNOR RD, STE 110, IRVING, TX 75062-4415
(469) 277-8255
(866) 509-8481
Mailing address
2805 DALLAS PKWY, STE 640, PLANO, TX 75093-8719
(469) 277-8255
(866) 509-8481
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03349
TX
363AS0400X
Surgical Physician Assistant
S0000670
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212093301
—
TX
05
—
212093302
—
TX
05
—
212093303
—
TX
05
—
2513051
—
OH
Enumeration date
02/17/2006
Last updated
07/19/2016
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