| Michael W. Mcshan, M.d., P.a. | |
|
1711 S Henderson Blvd Suite 300 Kilgore TX 75662-3563 | |
| (903) 983-1578 | |
| Not Available |
| Full Name | Michael W. Mcshan, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1711 S Henderson Blvd, Kilgore, Texas |
| Authorized Official Name and Position | Michael W Mcshan (PRESIDENT) |
| Authorized Official Contact | 9039831578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael W. Mcshan, M.d., P.a. 1711 S Henderson Blvd Suite 300 Kilgore TX 75662-3563 Ph: (903) 983-1578 | Michael W. Mcshan, M.d., P.a. 1711 S Henderson Blvd Suite 300 Kilgore TX 75662-3563 Ph: (903) 983-1578 |
| NPI Number | 1033481106 |
|---|---|
| Provider Enumeration Date | 02/03/2012 |
| Last Update Date | 02/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033481106 | NPI | - | NPPES |
| 130926203 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E4519 (Texas) | Primary |
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