Individual
AIMEE MARLENA MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4101 JAMES CASEY ST STE 100, AUSTIN, TX 78745-1145
(512) 687-1300
(512) 822-7567
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
2012-00413
NC
2086X0206X
Surgical Oncology Physician
Primary
T2206
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04977831
—
MS
05
—
1077607
—
LA
Enumeration date
07/31/2007
Last updated
01/25/2023
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