Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY LAMONT MCKENZIE, M.D.
ActiveDR. JERRY LAMONT MCKENZIE, M.D. is a Geriatric Medicine healthcare provider located in MANSFIELD, Texas. NPI 1053679407 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · MANSFIELD, TX
Registration Details
- NPI Number
- 1053679407
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2012 (14.347409753267 yrs)
- Last Updated
- Dec 11, 2024
- Licenses
-
E-8969 (AR)R4786 (TX)
Practice Information
- Address
-
1720 E BROAD STMANSFIELD, TX, 760633400Browse TX providers · Browse ZIP 76063
- Phone
- 8174535912
- Primary Specialty
-
Geriatric Medicine
207QG0300X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Geriatric Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.