Individual
DR. JOHN M MCKINNEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-2014
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
35821
AL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME 066933
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
T7818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220320
—
AL
01
—
512-12911
BCBS OF ALABAMA
AL
01
—
A02250A
MEDICARE
AL
Enumeration date
01/13/2006
Last updated
06/25/2024
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