Individual
GARY MCCORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 WOODSON DR, CALDWELL, TX 77836-1052
(979) 567-3245
Mailing address
PO BOX 339, WELLBORN, TX 77881-0339
(979) 567-3245
(979) 845-5533
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G5353
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00K48U
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/05/2006
Last updated
02/14/2008
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