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Individual

DESIRAE M MCKEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5613 114TH, LUBBOCK, TX 79424
(602) 677-8320
Mailing address
4911 19TH ST, LUBBOCK, TX 79407-2201
(602) 677-8320

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
N8220
TX
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
N8220
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00NM005X56
NM
01
184699101
FIRSTCARE
TX
05
204376201
TX
05
204376202
TX
05
22889696
NY
05
77884736
NM
01
8CB132
BCBS TX PPO
TX
01
P00808918
RR MEDICARE
TX
Enumeration date
05/21/2007
Last updated
09/15/2020
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