Provider Demographics
NPI:1972570091
Name:HARNEY, GINA GAY (MD)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:GAY
Last Name:HARNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2760 VIRGINIA PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-4964
Mailing Address - Country:US
Mailing Address - Phone:469-587-7546
Mailing Address - Fax:214-544-6739
Practice Address - Street 1:2760 VIRGINIA PKWY STE 200
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-4964
Practice Address - Country:US
Practice Address - Phone:469-587-7546
Practice Address - Fax:214-544-6737
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0314174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG76545Medicare UPIN
TX88650NMedicare ID - Type Unspecified