MRS. STACY MCMAHON


Address: 627 Cattlebaron Parc Dr, Fort Worth, TX 76108-9287
Phone: 7753131969

MRS. STACY MCMAHON (NPI# 1154979243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154979243
Entity Type Individual
Full Name MRS. STACY MCMAHON
Practice Address 627 Cattlebaron Parc Dr
Fort Worth
TX 76108-9287
Practice Telephone 7753131969
Mailing Telephone 7753131969
Enumeration Date 2019-08-31
Last Update Date 2019-08-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Office Location

Street Address 627 CATTLEBARON PARC DR
City FORT WORTH
State TX
Zip Code 76108-9287

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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

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Competitor

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City FORT WORTH
Zip Code 76108

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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