Individual
REBECCA A. MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4512 VAN WINKLE DR, AMARILLO, TX 79119
(806) 358-1497
(806) 358-1375
Mailing address
4512 VAN WINKLE DR, AMARILLO, TX 79119
(806) 358-1497
(806) 358-1375
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
K7452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00909U
MEDICARE GROUP NUMBER
—
05
—
045009002
—
TX
01
—
157343801
MEDICAID GROUP NUMBER
TX
01
—
P00004304
RAILROAD MEDICARE NUMBER
—
Enumeration date
07/07/2005
Last updated
05/27/2010
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