Mckenzie, Shaun Patrick

Mckenzie, Shaun Patrick is an individual health care provider with primary practice located at 4101 James Casey St Ste 100 , Austin TX 78745-1145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Mckenzie, Shaun Patrick can be contacted via phone (512) 421-4250.

Contact Information

Primary practice address
4101 James Casey St Ste 100 Austin TX 78745-1145
Phone: (512) 421-4250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 43479 Kentucky
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X P6220 Texas

Profile Details

NPI number 1114189933
LBN Legal business name Mckenzie, Shaun Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Nov 5th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114189933 NPPES
Texas MEDICAID 330383602
Texas MEDICAID 330383603
Texas MEDICAID 330383604
Texas MEDICAID 330383605
Texas Other P01867717

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