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DR. GREGORY J MCKENNA M.D. NPI 1467489799


NPI Information

NPI: 1467489799
Provider Name: DR. GREGORY J MCKENNA, M.D.
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual
Organization: HEALTHTEXAS PROVIDER NETWORK

PECOS Registration: Yes

Address:
3410 WORTH ST
SUITE 950
DALLAS, TX
ZIP 75246
Phone: (214) 820-2050
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DR. Gregory J Mckenna, M.D. is a transplant surgery in Dallas, TX with 29 years of experience. The provider is definition to come. DR. Gregory J Mckenna, M.D. NPI is 1467489799. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3410 WORTH ST
SUITE 950
DALLAS, TX
ZIP 75246-003
Phone: (214) 820-2050
Fax: (214) 818-6491

The NPI 1467489799 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 10/21/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204F00000XTransplant SurgeryM0486TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11723074-02MEDICAIDTEXAS
2366746YKY6MEDICARE PINTEXAS
38D0702MEDICARE PINTEXAS
48H3718OTHERTEXASBCBS
58D0703MEDICARE PINTEXAS
6366746YMNTMEDICARE PINTEXAS
7I23888MEDICARE UPINTEXAS
81723074-01MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.