Individual
EDWARD MICHAEL MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
L5831
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157343801
—
TX
05
—
157344601
—
TX
01
—
P00005113
RAILROAD MEDICARE NUMBER
—
Enumeration date
07/05/2005
Last updated
09/14/2021
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