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Individual

MATTHEW F. MCCARTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5200 DAVIS LANE, STE B200, AUSTIN, TX 78749
(512) 834-4141
(512) 834-4142
Mailing address
5200 DAVIS LANE, STE B200, AUSTIN, TX 78749
(512) 834-4141
(512) 834-4142

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
H0615
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
H0615
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130285308
TX
01
37-1564010
TAX ID
TX
01
8BD570
BCBS INDIVIDUAL #
TX
01
8F7963
MEDICARE PTAN
TX
01
TXB137878
MEDICARE PTAN - MARBLE FALLS
TX
Enumeration date
05/23/2005
Last updated
10/03/2016
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