Provider Demographics
NPI:1295030633
Name:MCKINNEY, TRICIA LYNN
Entity Type:Individual
Prefix:MS
First Name:TRICIA
Middle Name:LYNN
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18062 FM 529 RD
Mailing Address - Street 2:STE 253
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1168
Mailing Address - Country:US
Mailing Address - Phone:713-882-1111
Mailing Address - Fax:
Practice Address - Street 1:18062 FM 529 RD
Practice Address - Street 2:STE 253
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1168
Practice Address - Country:US
Practice Address - Phone:713-882-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-16
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health