Individual
LEO DEWITT MCCARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H2581
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130548409
—
TX
05
—
130548410
—
TX
05
—
130548411
—
TX
05
—
130548412
—
TX
01
—
8BR518
BCBS
TX
01
—
8EH583
BCBS TX
TX
01
—
P00746630
RAILROAD MEDICARE
TX
Enumeration date
06/14/2005
Last updated
04/22/2020
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