Machannaford, Juan C

Machannaford, Juan C is an individual health care provider with primary practice located at 11970 N Central Expy Ste 510 , Dallas TX 75243-3961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Machannaford, Juan C can be contacted via phone (214) 575-5885.

Contact Information

Primary practice address
11970 N Central Expy Ste 510 Dallas TX 75243-3961
Phone: (214) 575-5885
Fax: (907) 782-4662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X P8154 Texas

Profile Details

NPI number 1902094246
LBN Legal business name Machannaford, Juan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Feb 19th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1902094246 NPPES
Kentucky Other P00738774 RAILROAD MEDICARE
Kentucky MEDICAID 2769820 RAILROAD MEDICARE
Kentucky MEDICAID 3810007725 RAILROAD MEDICARE
Kentucky MEDICAID 7100080460 RAILROAD MEDICARE
Kentucky Other P8154 RAILROAD MEDICARE

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