Provider Demographics
NPI:1588638555
Name:MCCOY, DANNY K (MD)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:K
Last Name:MCCOY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3900 JUNIUS ST
Mailing Address - Street 2:SUITE 145
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1615
Mailing Address - Country:US
Mailing Address - Phone:972-386-7546
Mailing Address - Fax:972-701-8008
Practice Address - Street 1:3900 JUNIUS ST
Practice Address - Street 2:SUITE 145
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1615
Practice Address - Country:US
Practice Address - Phone:972-386-7546
Practice Address - Fax:972-701-8008
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2008-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ6577207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G36225Medicare UPIN