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Individual

DR. BRICE W MCKANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12201 MERIT DR STE 440, DALLAS, TX 75251-3106
(469) 501-1466
(469) 501-1465
Mailing address
12201 MERIT DR STE 440, DALLAS, TX 75251-3106
(469) 501-1466
(469) 501-1465

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
M1233
TX
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
M1233
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00Y152
MEDICARE GROUP PTAN
TX
Enumeration date
12/12/2006
Last updated
08/14/2025
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