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NPI Code Detail

MEDICARE: MR. KEVIN JAMES MCQUAID MD

MEDICARE: MR. KEVIN JAMES MCQUAID 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
1207ZC0500XCytopathology PhysicianJ5832TX
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianJ5832TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306814447
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN JAMES MCQUAID MD
Provider Business Mailing Address
First Line : PO BOX 841363
Second Line :
City : DALLAS
State : TX
Zip : 75284-1363
Country : US
Telephone Number : 888-276-2223
Fax Number : 214-596-7484
Provider Business Practice Location Address
First Line : 6655 N MACARTHUR BLVD
Second Line :
City : IRVING
State : TX
Zip : 75039-2443
Country : US
Telephone Number : 214-277-8700
Fax Number : 214-596-7484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 01/19/2022

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