MEDICARE: DR. THOMAS E MCGEE 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	174400000X	Specialist	K5044	TX
2	2085R0202X	Diagnostic Radiology Physician	K5044	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1396722518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS E MCGEE MD

Provider Business Mailing Address
First Line	:	816 W CANNON ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3146
Country	:	US
Telephone Number	:	817-321-4040
Fax Number	:

Provider Business Practice Location Address
First Line	:	5016 S US HIGHWAY 75
Second Line	:	RADIOLOGY DEPARTMENT
City	:	DENISON
State	:	TX
Zip	:	75020-4584
Country	:	US
Telephone Number	:	903-892-1131
Fax Number	:	903-327-8023

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

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	09/22/2021

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