Provider Demographics
NPI:1518134618
Name:FRANK O. MCGEHEE JR. M.D.P.A.
Entity Type:Organization
Organization Name:FRANK O. MCGEHEE JR. M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:O
Authorized Official - Last Name:MCGEHEE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:936-291-3351
Mailing Address - Street 1:1909 22ND ST
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-4954
Mailing Address - Country:US
Mailing Address - Phone:936-291-3351
Mailing Address - Fax:936-291-3519
Practice Address - Street 1:1909 22ND ST
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-4954
Practice Address - Country:US
Practice Address - Phone:936-291-3351
Practice Address - Fax:936-291-3519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Z445OtherPTAN
TX0978272OtherMEDICAID/TPI
TX1265476865OtherINDIV NPI
TX0978272OtherMEDICAID/TPI