Individual
DR. JOHN ELLERY LIDDICOAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7405 BOULDER CREEK DR, MCKINNEY, TX 75070-5074
(214) 505-2369
Mailing address
7405 BOULDER CREEK DR, MCKINNEY, TX 75070-5074
(214) 505-2369
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E0529
TX
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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