MEDICARE: DR. TIMOTHY M MCGEE 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
1	2086S0122X	Plastic and Reconstructive Surgery Physician	J0116	TX
2	208200000X	Plastic Surgery Physician	J0116	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	:	1720063480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY M MCGEE M.D.

Provider Business Mailing Address
First Line	:	1760 ROUND ROCK AVE
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4217
Country	:	US
Telephone Number	:	512-583-3376
Fax Number	:	512-666-3243

Provider Business Practice Location Address
First Line	:	1760 ROUND ROCK AVE
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4217
Country	:	US
Telephone Number	:	512-583-3376
Fax Number	:	512-540-8291

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

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	02/06/2019

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