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NPI Code Detail

MEDICARE: DR. RODERICK PATRICK MCCARTHY MD

MEDICARE: DR. RODERICK PATRICK MCCARTHY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianJ1727TX

General Provider Information

NPI Number : 1255342671
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODERICK PATRICK MCCARTHY MD
Provider Business Mailing Address
First Line : 5719 ANTARES CT
Second Line :
City : DALLAS
State : TX
Zip : 75252-5129
Country : US
Telephone Number : 972-713-7112
Fax Number :
Provider Business Practice Location Address
First Line : 401 W CAMPBELL RD
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-3416
Country : US
Telephone Number : 972-498-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 07/08/2007

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