Provider Demographics
NPI:1649387002
Name:MCCOY, DEBORAH D (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:D
Last Name:MCCOY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4299 SAN FELIPE ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-2921
Mailing Address - Country:US
Mailing Address - Phone:832-476-3900
Mailing Address - Fax:832-476-3990
Practice Address - Street 1:1401 ST JOSEPH PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8301
Practice Address - Country:US
Practice Address - Phone:713-756-8537
Practice Address - Fax:713-756-8538
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2011-03-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM7414207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00477538OtherRAILROAD MEDICARE
TX8A9289OtherBC/BS TX#
TX8A9289OtherBC/BS TX#
TXTXB116862Medicare PIN
TX8K2464Medicare PIN