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Individual

ASHLEY GRAY MACKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4510 MEDICAL CENTER DR STE 210, MCKINNEY, TX 75069-1602
(214) 358-2300
(214) 579-6995
Mailing address
1505 LBJ FWY STE 700, DALLAS, TX 75234-6065
(214) 358-2300
(214) 366-6159

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1057778
TX
363LF0000X
Family Nurse Practitioner
1057778
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1057778
LICENSE
TX
01
872927
RN LICENSE
TX
Enumeration date
01/31/2022
Last updated
01/05/2024
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