Provider Demographics
NPI:1376755280
Name:MCGRORY, KATHLEEN RAE (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:RAE
Last Name:MCGRORY
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Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:6516 MD ANDERSON BLVD
Mailing Address - Street 2:STE 371
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-500-4110
Mailing Address - Fax:713-500-4130
Practice Address - Street 1:6516 MD ANDERSON BLVD
Practice Address - Street 2:STE 371
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-500-4110
Practice Address - Fax:713-500-4130
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TX218571223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics