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Contact Information

JUAN C MACHANNAFORD, MD
11970 N CENTRAL EXPY STE 510
DALLAS, TX75243-3961
 Phone: 214-575-5885
 Fax: 907-782-4662
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JUAN C MACHANNAFORD · (Male)

NPI Number 1902094246
Status Active
Credentials MD
Entity Individual
Enumeration date 10/11/2007
Last updated 02/19/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TX License # P8154
  • KY Medicaid 7100080460
  • OH Medicaid 2769820
  • WV Medicaid 3810007725
  • KY Other P00738774 RAILROAD MEDICARE
  • TX Other P8154 TEXAS MEDICAL LICENSE
Hospital affiliation(s)
  • DENTON REGIONAL MEDICAL CENTER - (Acute Care)
    3535 SOUTH I35 EAST
    DENTON, TX 76210
  • MEDICAL CITY DALLAS HOSPITAL - (Acute Care)
    7777 FOREST LANE
    DALLAS, TX 75230
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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