Individual
DR. JOHN M. MACKAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 521-7415
(915) 521-7920
Mailing address
5130 GATEWAY BLVD E # 51015, EL PASO, TX 79905-1608
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J4898
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106012102
—
TX
01
—
J4898
STATE LICENSE
TX
Enumeration date
10/20/2005
Last updated
11/08/2023
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