Organization
MAJESTIC HEALTHCARE, PLLC
Active
Other names
Advanced Medical Skin Care,LLC, Majestic Healthcare, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN MCCOY NP (OWNER)
(512) 364-2151
Entity
Organization
Contact information
Practice address
110 EISENHOWER CT, GEORGETOWN, TX 78633
(512) 364-2151
Mailing address
110 EISENHOWER CT, GEORGETOWN, TX 78633-5471
(512) 364-2151
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP119783
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP119783
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679719926
INSURANCE
TX
Enumeration date
06/15/2018
Last updated
08/13/2018
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