Healthcare Provider Details

I. General information

NPI: 1568117356
Provider Name (Legal Business Name): BRIANNA MCKAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2022
Last Update Date: 07/30/2025
Certification Date: 02/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHILDREN'S MEDICAL CENTER OF DALLAS 1935 MEDICAL DISTRICT DR
DALLAS TX
75235
US

IV. Provider business mailing address

CHILDREN'S MEDICAL CENTER OF DALLAS 1935 MEDICAL DISTRICT DR
DALLAS TX
75235
US

V. Phone/Fax

Practice location:
  • Phone: 214-456-7000
  • Fax: 251-415-1026
Mailing address:
  • Phone: 214-456-7000
  • Fax: 251-445-2464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.1935
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: