Individual
DR. JOHN M MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 ROSALIND REDFERN GROVER PKWY STE 271, MIDLAND, TX 79701-5857
(432) 221-2700
(432) 221-2702
Mailing address
4214 ANDREWS HWY STE 240, MIDLAND, TX 79703-4817
(432) 685-0633
(432) 685-1043
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
E-4516
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103996-02
—
TX
Enumeration date
02/13/2007
Last updated
05/04/2023
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