Individual
SEAN MCGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1636 HUNTERS GLEN RD, SAN ANGELO, TX 76901-5016
(325) 949-5722
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(325) 949-5722
(325) 949-0003
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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