Organization
JOHN C MCELROY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C MCELROY MD (PRESIDENT/OWNER)
(972) 420-1776
Entity
Organization
Contact information
Practice address
1234 FM 407, STE 100, NORTH LAKE, TX 76226
(972) 420-1776
(972) 221-8685
Mailing address
5000 LONG PRAIRIE RD, SUITE 100, FLOWER MOUND, TX 75028-2783
(972) 420-1776
(972) 221-8685
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
Q4202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576623
MEDICARE
TX
01
—
7624920002
MEDICARE NSC
—
Enumeration date
01/04/2017
Last updated
09/03/2021
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