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NPI Code Detail

MEDICARE: DANIEL LEE MACKEY PA-C

MEDICARE: DANIEL LEE MACKEY PA-C
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
1363A00000XPhysician AssistantPA12012TX
2207P00000XEmergency Medicine PhysicianPA12012TX
3363AM0700XMedical Physician AssistantPA12012TX
4363AS0400XSurgical Physician AssistantPA12012TX

General Provider Information

NPI Number : 1336513860
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL LEE MACKEY PA-C
Provider Business Mailing Address
First Line : 508 CROSS TIMBERS CT
Second Line :
City : EL PASO
State : TX
Zip : 79932-3139
Country : US
Telephone Number : 915-787-0075
Fax Number :
Provider Business Practice Location Address
First Line : 1600 MEDICAL CENTER DR STE 212
Second Line :
City : EL PASO
State : TX
Zip : 79902-5008
Country : US
Telephone Number : 915-532-3977
Fax Number : 915-532-5866
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2015
Last Update Date : 12/10/2025

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Directions to “ DANIEL LEE MACKEY PA-C” Practice Location

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