Search › Texas › 207QG0300X
Jerry Mckenzie, M.D
NPI 1053679407 · on the registry since 2012
Practice
- Address
- 1720 E Broad St
Mansfield, TX 76063 - Phone
- (817) 453-5912
- Organisation at this address
- Mansfield Medical Clinic
Strategic Medical Group Tx PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 845 Desco Ln, Grand Prairie, TX
- 3920 W Wheatland Rd Ste 152, Dallas, TX
Registry record
- Primary taxonomy
- 207QG0300X
207QG0300X
- Also registered as
- 207P00000X
390200000X - Licence states on file
- AR, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas