Individual
SHAUN PATRICK MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 JAMES CASEY ST STE 100, AUSTIN, TX 78745-1145
(512) 421-4250
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
43479
KY
2086X0206X
Surgical Oncology Physician
Primary
P6220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330383602
—
TX
05
—
330383603
—
TX
05
—
330383604
—
TX
05
—
330383605
—
TX
01
—
P01867717
RAILROAD
TX
Enumeration date
07/02/2008
Last updated
11/05/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us