Individual
SEAN MCGILL
Active
Individual
SEAN MCGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
BP10053424
TX
2084P0800X
Psychiatry Physician
Primary
R1417
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1C1361
MEDICARE
TX
Enumeration date
04/28/2015
Last updated
07/02/2020
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