Individual
MRS. TOSHIA MICHELLE MCKEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
7940 SHOAL CREEK BLVD STE 100, AUSTIN, TX 78757-7589
(512) 494-4000
(512) 494-4024
Mailing address
7940 SHOAL CREEK BLVD STE 100, AUSTIN, TX 78757-7589
(512) 494-4000
(512) 494-4024
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
683647
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
20061217
TX
Other
Enumeration date
05/10/2007
Last updated
06/10/2021
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