Provider Demographics
NPI:1861452955
Name:MAGEE, DAVID JUDE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JUDE
Last Name:MAGEE
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 1:7610 N STEMMONS FWY STE 600
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4228
Mailing Address - Country:US
Mailing Address - Phone:214-689-5960
Mailing Address - Fax:469-713-8084
Practice Address - Street 1:12200 PARK CENTRAL DR STE 403
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-2126
Practice Address - Country:US
Practice Address - Phone:972-566-6700
Practice Address - Fax:972-566-6737
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1720207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX105923004Medicaid
TX8A7893OtherBCBSTX
TX105923004Medicaid
TX8911N0Medicare PIN
TX100016033Medicare PIN