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NPI Code Detail

MEDICARE: MACY MCCOY

MEDICARE: MACY MCCOY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist123337TX

General Provider Information

NPI Number : 1033920525
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACY MCCOY
Provider Business Mailing Address
First Line : 6168 BENTRIDGE DR
Second Line :
City : HURST
State : TX
Zip : 76054-2615
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7301 CANYON PARK DR UNIT 100
Second Line :
City : FORT WORTH
State : TX
Zip : 76123-3038
Country : US
Telephone Number : 817-479-7019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2025
Last Update Date : 12/04/2025

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Directions to “ MACY MCCOY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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