Maxey, John Anthony

Maxey, John Anthony is an sole proprietor health care provider with primary practice located at 1600 Lancaster Dr Suite 101, Grapevine TX 76051-3579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Maxey, John Anthony can be contacted via phone (972) 406-3000.

Contact Information

Primary practice address
1600 Lancaster Dr Suite 101 Grapevine TX 76051-3579
Fax: (972) 406-3005
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X J1603 Texas

Profile Details

NPI number 1669464194
LBN Legal business name Maxey, John Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated Sep 10th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669464194 NPPES
Texas MEDICAID 105336503

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