Organization
JIM MCKINLEY, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WAYNE MCKINLEY M.D. (M.D./OWNER)
(903) 780-4871
Entity
Organization
Contact information
Practice address
1814 ROSELAND BLVD, TYLER, TX 75701-4234
(903) 780-4871
(888) 242-8720
Mailing address
5701 OLD BULLARD RD, PMB 56, TYLER, TX 75703-4340
(903) 780-4871
(888) 242-8720
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
H4539
TX
Other
Enumeration date
09/24/2008
Last updated
01/05/2011
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