Provider Demographics
NPI:1144300096
Name:MCGEHEE, FRANK T JR (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:T
Last Name:MCGEHEE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:1263 W ROSEDALE ST STE 200
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2837
Practice Address - Country:US
Practice Address - Phone:817-336-4896
Practice Address - Fax:817-332-2805
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4267208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX140442873Medicaid
1750369203OtherGRP NPI NUMBER
TX4057654OtherAETNA PIN
TX41710OtherFIRSTHEALTH PIN
TX4612783OtherCIGNA PIN
TX119057100OtherFIRSTCARE PIN
TX137335906Medicaid
TXMCGFE80381OtherCCHIP PIN
TX00U87ZOtherBCBSTX GRP PIN
TX137283102Medicaid
TX856801OtherUHC PIN
TX86753GOtherBCBSTX IND PIN
TX82Y882Medicare PIN
TX00T22UMedicare PIN
TX137335906Medicaid