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Matthew F. Mccarty
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NPI Number Detailed Information
Provider Information:
| Name: | Matthew F. Mccarty |
| Gender: | M |
| Provider License Number If Given: | H0615 |
NPI Information:
| NPI: | 1235132432 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 10/3/2016 |
Provider Business Mailing Address:
| Address: | 5200 DAVIS LANE STE B200 Austin, TX 78749 |
| Phone Number: | 5128344141 |
| Fax Number: | 5128344142 |
Provider Business Practice Location Address:
| Address: | 5200 DAVIS LANE STE B200 Austin, TX 78749 |
| Phone Number: | 5128344141 |
| Fax Number: | 5128344142 |
Provider Taxonomy:
| Primary: | 207L00000X |
| Secondary (if any): | 207LP2900X |
| State: | TX |
