Mccown, Roger Lee

Mccown, Roger Lee is an individual health care provider with primary practice located at 1327 Troup Hwy , Tyler TX 75701-4443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mccown, Roger Lee can be contacted via phone (903) 510-8840.

Contact Information

Primary practice address
1327 Troup Hwy Tyler TX 75701-4443
Phone: (903) 510-8840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X L4054 Texas

Profile Details

NPI number 1154395432
LBN Legal business name Mccown, Roger Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 13th, 2014 - about 12 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 1154395432 NPPES
Texas MEDICAID 151585001

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