Provider Demographics
NPI:1780721241
Name:MCNAMEE, JERRY A (R EPT, CNIM)
Entity type:Individual
Prefix:
First Name:JERRY
Middle Name:A
Last Name:MCNAMEE
Suffix:
Gender:M
Credentials:R EPT, CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 W 15TH ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5801
Mailing Address - Country:US
Mailing Address - Phone:972-985-0498
Mailing Address - Fax:972-612-1626
Practice Address - Street 1:4100 W 15TH ST
Practice Address - Street 2:SUITE 208
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5801
Practice Address - Country:US
Practice Address - Phone:972-985-0498
Practice Address - Fax:972-612-1626
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic