Black, Mckenzie

Black, Mckenzie is an individual health care provider with primary practice located at 100 E Ferguson St , Tyler TX 75702-5759. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Black, Mckenzie can be contacted via phone (903) 509-2040.

Contact Information

Primary practice address
100 E Ferguson St Tyler TX 75702-5759
Phone: (903) 509-2040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 123797 Texas

Profile Details

NPI number 1679254296
LBN Legal business name Black, Mckenzie
Credentials OTR/L, OTD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2023
Last updated Jul 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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