Eugene S Mackie MD PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

F8559 Issued in TX

Legal business name

EUGENE S MACKIE MD PA

Practice address

2401 Cornerstone Blvd
Edinburg, TX 78539-3475

Phone

(956) 631-2957

Fax

(956) 631-1983

NPI assigned

May 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eugene Scott Mackie, MD

Title

Owner

Phone

(956) 631-2957

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• THE MACKIE CLINIC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1295789782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393475",
            "telephone_number": "956-631-2957",
            "fax_number": "956-631-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393475",
            "telephone_number": "956-631-2957",
            "fax_number": "956-631-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE S MACKIE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "MACKIE",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-631-2957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "F8559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180225801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MACKIE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Otolaryngology Physician in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.