Provider Demographics
NPI:1720385933
Name:MCPHERSON, MCCALL CHRISTIAN (PA)
Entity Type:Individual
Prefix:
First Name:MCCALL
Middle Name:CHRISTIAN
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:MCCALL
Other - Middle Name:CHRISTIAN
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3944 RR 620 S BLDG 6
Mailing Address - Street 2:
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-7000
Mailing Address - Country:US
Mailing Address - Phone:512-368-9171
Mailing Address - Fax:512-852-6746
Practice Address - Street 1:3944 RR 620 S BLDG 6
Practice Address - Street 2:
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-7000
Practice Address - Country:US
Practice Address - Phone:512-368-9171
Practice Address - Fax:512-852-6746
Is Sole Proprietor?:No
Enumeration Date:2011-02-24
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA07188363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant