Individual
DR. ROBERT A MCKINNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 E HOUSTON, STE 550, TYLER, TX 75701
(903) 592-7393
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G3603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120418204
—
TX
Enumeration date
02/16/2006
Last updated
10/13/2014
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