Organization
BETHANY HOME CARE MHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADE THOMAS MCCOY MD (OWNER)
(405) 226-7169
Entity
Organization
Contact information
Practice address
1515 HERITAGE DR, STE 110, MCKINNEY, TX 75069-3256
(972) 616-4932
Mailing address
1515 HERITAGE DR, STE 110, MCKINNEY, TX 75069-3256
(972) 616-4932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20023
OK
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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