Individual
GERALD BRIAN MCCOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
EL PASO VETERANS ADMINISTRATION, 5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 355-1102
Mailing address
EL PASO VETERANS ADMINISTRATION, 5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 355-1102
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
916
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G460
BXBS OF TX
TX
05
—
0927899-02
—
TX
Enumeration date
07/07/2006
Last updated
04/12/2023
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