Provider Demographics
NPI:1912967621
Name:MCGEE, MICHAEL VAN (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:VAN
Last Name:MCGEE
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:PO BOX 2435
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:TX
Mailing Address - Zip Code:76430-8020
Mailing Address - Country:US
Mailing Address - Phone:325-762-2447
Mailing Address - Fax:325-762-2186
Practice Address - Street 1:725 PATE ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:TX
Practice Address - Zip Code:76430-3225
Practice Address - Country:US
Practice Address - Phone:325-762-2447
Practice Address - Fax:325-762-2186
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8661207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH09984Medicare UPIN
TX355761YR09Medicare PIN