Individual provider · Type 1 NPI

Michael McKelva

Surgical Physician Assistant · Tyler, TX

NPI number 1346771748 Active

Practice location

630 S Fleishel Ave
Tyler, TX 75701-2041

Mailing address

2120 N Macarthur Blvd, Suite 100
Irving, TX 75061-2221

Other practice locations

  • 2120 N Macarthur Blvd, Suite 100, Irving, TX 75061-2221 · (972) 438-4636

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA11152 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1346771748

Michael McKelva's National Provider Identifier is 1346771748, issued on Mar 27, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tyler, TX. The record was last updated on Mar 23, 2021.