Provider Demographics
NPI:1245255363
Name:MCGEEHAN, MAUREEN (MD)
Entity type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:
Last Name:MCGEEHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 W CAMPBELL RD STE 308
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3620
Mailing Address - Country:US
Mailing Address - Phone:469-330-0800
Mailing Address - Fax:469-330-0803
Practice Address - Street 1:399 W CAMPBELL RD STE 308
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3620
Practice Address - Country:US
Practice Address - Phone:469-330-0800
Practice Address - Fax:469-330-0803
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6520207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7909557OtherAETNA
TX0090KHOtherBCBS
TXL6520OtherLICENSE
BM6046292OtherDEA
TX0090KHOtherBCBS
BM6046292OtherDEA