Individual
DR. MICHAEL WAYNE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.P.A.
Contact information
Practice address
811 IRA E WOODS AVE, GRAPEVINE, TX 76051-4012
(817) 481-3585
(817) 421-6529
Mailing address
811 IRA E WOODS AVE, GRAPEVINE, TX 76051-4012
(817) 481-3585
(817) 421-6529
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
H5589
TX
208000000X
Pediatrics Physician
Primary
H5589
TX
Other
Enumeration date
08/21/2006
Last updated
12/22/2015
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