Individual
RAYMOND CHARLES MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
387 OAK CREEK DR, LAVON, TX 75166-1932
(216) 355-2500
Mailing address
387 OAK CREEK DR, LAVON, TX 75166-1932
(216) 355-2500
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
45734352
TX
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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