Provider Demographics
NPI:1912978800
Name:MCCAIN, DAVID B (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:B
Last Name:MCCAIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6200 REGIONAL PLAZA
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5250
Mailing Address - Country:US
Mailing Address - Phone:325-428-5580
Mailing Address - Fax:325-428-5589
Practice Address - Street 1:6250 REGIONAL PLZ
Practice Address - Street 2:SUITE 1010
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5262
Practice Address - Country:US
Practice Address - Phone:325-428-5580
Practice Address - Fax:325-428-5589
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2016-09-23
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Provider Licenses
StateLicense IDTaxonomies
TXJ7576174400000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0349870-01Medicaid
TX0349870-01Medicaid
TXC68504Medicare UPIN