Provider Demographics
NPI:1700830767
Name:MCKAY, RICHARD F (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:F
Last Name:MCKAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-4168
Mailing Address - Country:US
Mailing Address - Phone:806-353-3529
Mailing Address - Fax:806-355-5104
Practice Address - Street 1:8 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-4168
Practice Address - Country:US
Practice Address - Phone:806-353-3529
Practice Address - Fax:806-355-5104
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD5105207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0487690001Medicare NSC
TXC19165Medicare UPIN
TX00M163Medicare ID - Type Unspecified