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Daniel Jetton Mcgilvray

Family Medicine

Allopathic & Osteopathic Physicians

1320 Hemphill St Ste 300, Fort Worth, TX 76104-4716

PECOS Enrollment

This provider is enrolled in PECOS as DANIEL MCGILVRAY.

Based on the most recent information from CMS, provider Daniel Jetton Mcgilvray is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1386965234
Provider Type
Individual
Full Name
Mcgilvray, Daniel Jetton
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
6/15/2010
Last Updated
7/11/2024

Contact Information

Practice Location

1320 Hemphill St Ste 300, Fort Worth, TX 76104-4716

(817) 336-1189

Unlisted Fax

Mailing Location

3455 Locke Ave Ste 315, Fort Worth, TX 76107-5747

(817) 336-1189

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License P3773 Texas

Daniel Jetton Mcgilvray

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Foran, Laine F

Garcia, Jose Luis

Savage, Autumn

Brewington, Jason Perry

Thomas, Lini M

Greer, Daria Katherine

Pate, William Bart

Holbrooks, Christina Grey

Katzen, Kevin Dean

Cahill, Timothy