Provider Demographics
NPI:1609156660
Name:MICHAEL MCKEE
Entity Type:Organization
Organization Name:MICHAEL MCKEE
Other - Org Name:SPINE CARE OF SAN ANTONIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-545-0087
Mailing Address - Street 1:PO BOX 790256
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78279-0256
Mailing Address - Country:US
Mailing Address - Phone:210-545-0087
Mailing Address - Fax:210-545-3455
Practice Address - Street 1:20079 STONE OAK PKWY STE 1245
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-6957
Practice Address - Country:US
Practice Address - Phone:210-545-0087
Practice Address - Fax:210-545-3455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty