MEDICARE: STEPHEN R MCMAHON MD

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	207R00000X	Internal Medicine Physician	E6514	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	680016195	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number	:	1225098957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN R MCMAHON MD

Provider Business Mailing Address
First Line	:	850 ED HALL DR
Second Line	:
City	:	KAUFMAN
State	:	TX
Zip	:	75142-1861
Country	:	US
Telephone Number	:	972-932-7349
Fax Number	:	972-932-7273

Provider Business Practice Location Address
First Line	:	850 ED HALL DR
Second Line	:
City	:	KAUFMAN
State	:	TX
Zip	:	75142-1861
Country	:	US
Telephone Number	:	972-932-7349
Fax Number	:	972-932-7273

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

Provider Enumeration Date	:	03/25/2006
Last Update Date	:	12/23/2020

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Directions to “ STEPHEN R MCMAHON MD” Practice Location

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