Provider Demographics
NPI:1730685108
Name:MCGHEE, DIMITRA DENISE (AGPCNP-C)
Entity type:Individual
Prefix:MRS
First Name:DIMITRA
Middle Name:DENISE
Last Name:MCGHEE
Suffix:
Gender:F
Credentials:AGPCNP-C
Other - Prefix:
Other - First Name:DIMITRA
Other - Middle Name:
Other - Last Name:DUNLAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1826 N LOOP 1604 W STE 32
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-4527
Mailing Address - Country:US
Mailing Address - Phone:210-875-0413
Mailing Address - Fax:
Practice Address - Street 1:1826 N LOOP 1604 W STE 32
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-4527
Practice Address - Country:US
Practice Address - Phone:210-875-0413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137174363LA2200X, 363LP2300X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology