Provider Demographics
NPI:1477719292
Name:ALLAN J. MCCORKLE, M.D.,P.A.
Entity Type:Organization
Organization Name:ALLAN J. MCCORKLE, M.D.,P.A.
Other - Org Name:LONE STAR PSYCHIATRIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MCCORKLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-355-1313
Mailing Address - Street 1:7021 KEWANEE AVE
Mailing Address - Street 2:6-104
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-7048
Mailing Address - Country:US
Mailing Address - Phone:806-355-1313
Mailing Address - Fax:
Practice Address - Street 1:7021 KEWANEE AVE
Practice Address - Street 2:6-104
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-7048
Practice Address - Country:US
Practice Address - Phone:806-355-1313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
260029779OtherPALMETTO GBA
TX123652303Medicaid
260029779OtherPALMETTO GBA