Individual
MR. HUGH STODDARD MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2501 FOREST PARK BLVD, SUITE 3, FORT WORTH, TX 76110-2257
(817) 926-4462
(817) 367-0694
Mailing address
2501 FOREST PARK BLVD, SUITE 3, FORT WORTH, TX 76110-2257
(817) 926-4462
(817) 367-0694
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10429
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064MR
BLUE CROSS/BLUE SHIELD
TX
01
—
7617723
AETNA
TX
Enumeration date
07/04/2006
Last updated
07/08/2007
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