Dr John Ellery Liddicoat, MD - Thoracic Surgery (Cardiothoracic Vascular Surgery) in Mckinney, TX

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Dr John Ellery Liddicoat, MD is a Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Mckinney, Texas. Dr John Ellery Liddicoat is licensed to practice in Texas (license number E0529) and his current practice location is 7405 Boulder Creek Dr, Mckinney, Texas. He can be reached at his office (for appointments etc.) via phone at (214) 505-2369.

NPI number for Dr John Ellery Liddicoat is 1538372719 and his current mailing address is 7405 Boulder Creek Dr, Mckinney, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538372719.

Contact Information

Dr John Ellery Liddicoat, MD
7405 Boulder Creek Dr,
Mckinney, TX 75070-5074
(214) 505-2369
Not Available

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Physician's Profile

Full NameDr John Ellery Liddicoat
GenderMale
SpecialityThoracic Surgery (cardiothoracic Vascular Surgery)
Location7405 Boulder Creek Dr, Mckinney, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538372719
  • Provider Enumeration Date: 05/07/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr John Ellery Liddicoat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538372719NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) E0529 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Ellery Liddicoat is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Ellery Liddicoat, MD
7405 Boulder Creek Dr,
Mckinney, TX 75070-5074

Ph: (214) 505-2369		Dr John Ellery Liddicoat, MD
7405 Boulder Creek Dr,
Mckinney, TX 75070-5074

Ph: (214) 505-2369

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Mckinney, TX


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