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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

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