Organization
MCKINNEY PODIATRIC ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MCKINNEY D.P.M. (PRESIDENT)
(713) 946-1500
Entity
Organization
Contact information
Practice address
4102 WOODLAWN AVE STE 150B, PASADENA, TX 77504-1922
(713) 947-1016
(713) 947-1071
Mailing address
4102 WOODLAWN AVE STE 140, PASADENA, TX 77504-1948
(713) 946-1500
(713) 946-0200
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
L2281
TX
213ES0131X
Foot Surgery Podiatrist
Primary
1103
TX
213ES0131X
Foot Surgery Podiatrist
1172
TX
213ES0131X
Foot Surgery Podiatrist
1444
TX
213ES0131X
Foot Surgery Podiatrist
1645
TX
213ES0131X
Foot Surgery Podiatrist
1832
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084070401
—
TX
Enumeration date
03/27/2007
Last updated
05/27/2010
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