MEDICARE: MEENAL MCNARY DDS

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
1	1223E0200X	Endodontics	22916	TX

General Provider Information

NPI Number	:	1669584116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEENAL MCNARY DDS

Provider Business Mailing Address
First Line	:	407 TOM KITE DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-3984
Country	:	US
Telephone Number	:	512-271-6591
Fax Number	:

Provider Business Practice Location Address
First Line	:	503 E PALM VALLEY BLVD
Second Line	:	SUITE 120
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-3046
Country	:	US
Telephone Number	:	512-271-6591
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	09/14/2017

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