Provider Demographics
NPI:1205920634
Name:MCKEE, MARTIN DEAN (DO)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:DEAN
Last Name:MCKEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2313 W ARKANSAS LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-0100
Mailing Address - Country:US
Mailing Address - Phone:817-261-3302
Mailing Address - Fax:
Practice Address - Street 1:2313 W ARKANSAS LN
Practice Address - Street 2:SUITE 100
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-0100
Practice Address - Country:US
Practice Address - Phone:817-261-3302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7532207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00MC88Medicaid
TX8B5711OtherBCBS
TX8B7470OtherBCBS
TX8B2445OtherBCBS
TX8B0803OtherBCBS
TX00MC88OtherBCBS
TXA67405Medicare UPIN
TXMC88Medicare ID - Type Unspecified