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Contact Information

SHAUN P MCKENZIE, MD
4101 JAMES CASEY ST STE 100
AUSTIN, TX78745-1145
 Phone: 512-421-4250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SHAUN P MCKENZIE · (Male)

NPI # 1114189933
Status Active
Credentials MD
Entity Individual
Enumeration date 07/02/2008
Last updated 11/05/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 43479
  • TX License # P6220
  • TX Medicaid 330383602
  • TX Medicaid 330383603
  • TX Medicaid 330383604
  • TX Medicaid 330383605
  • TX Other P01867717 RAILROAD
Hospital affiliation(s)
  • ST DAVID'S SOUTH AUSTIN MEDICAL CENTER - (Acute Care)
    901 WEST BEN WHITE BLVD
    AUSTIN, TX 78704
  • ST DAVIDS MEDICAL CENTER - (Acute Care)
    919 E 32ND ST
    AUSTIN, TX 78705
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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