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NPI Code Detail

MEDICARE: DR. ALLAN JAMES MCCORKLE M.D.

MEDICARE:  DR. ALLAN JAMES MCCORKLE  M.D.
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
12084P0805XGeriatric Psychiatry PhysicianJO11OTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11477271929OTHERTXGROUP NPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124077342
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLAN JAMES MCCORKLE M.D.
Provider Business Mailing Address
First Line : 7021 KEWANEE AVE
Second Line : 6-104
City : LUBBOCK
State : TX
Zip : 79424-7050
Country : US
Telephone Number : 888-622-6755
Fax Number : 866-622-6755
Provider Business Practice Location Address
First Line : 7021 KEWANEE AVE
Second Line : 6-104
City : LUBBOCK
State : TX
Zip : 79424-7050
Country : US
Telephone Number : 888-622-6755
Fax Number : 866-622-6755
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2006
Last Update Date : 04/22/2026

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