Provider Demographics
NPI:1427200013
Name:MCFATE, JOHN ALLEN (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ALLEN
Last Name:MCFATE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5024 TIGER LILY WAY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78739-1431
Mailing Address - Country:US
Mailing Address - Phone:713-775-3805
Mailing Address - Fax:512-387-3012
Practice Address - Street 1:701 E FM 1626 STE 204
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-2892
Practice Address - Country:US
Practice Address - Phone:512-270-8047
Practice Address - Fax:512-387-3012
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTMBPIT#BP10032773390200000X
TXP83872086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program