Mckenna, Gregory J
Mckenna, Gregory J is an individual health care provider with primary practice located at 3410 Worth St Suite 950, Dallas TX 75246-2003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Mckenna, Gregory J can be contacted via phone (214) 820-2050.Contact Information
Primary practice address
3410 Worth St Suite 950
Dallas TX 75246-2003
Phone: (214) 820-2050
Fax: (214) 818-6491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | M0486 | Texas |
Profile Details
| NPI number | 1467489799 |
|---|---|
| LBN Legal business name | Mckenna, Gregory J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Oct 21st, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467489799 | NPPES |
| Texas | Other | 8H3718 | BCBS |
| Texas | MEDICAID | 1723074-01 | BCBS |
| Texas | MEDICAID | 1723074-02 | BCBS |
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