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1255573739

NPI Code Detail

MEDICARE: DR. DOUGLAS S MAXEY MD

MEDICARE: DR. DOUGLAS S MAXEY 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	207LP2900X	Pain Medicine (Anesthesiology) Physician	Q0505	TX

General Provider Information

NPI Number	:	1255573739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS S MAXEY MD

Provider Business Mailing Address
First Line	:	3725 S LAKE FOREST DR
Second Line	:	STE 114
City	:	MCKINNEY
State	:	TX
Zip	:	75070-1689
Country	:	US
Telephone Number	:	817-533-7080
Fax Number	:	817-533-7082

Provider Business Practice Location Address
First Line	:	5575 WARREN PKWY STE 208
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-4063
Country	:	US
Telephone Number	:	817-533-7080
Fax Number	:	817-533-7082

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

Provider Enumeration Date	:	03/31/2009
Last Update Date	:	02/22/2020

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Directions to “ DR. DOUGLAS S MAXEY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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