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NPI Code Detail

MEDICARE: IAN MICHAEL CARY ACAGNP-BC

MEDICARE: IAN MICHAEL CARY ACAGNP-BC
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
1207XS0117XOrthopaedic Surgery of the Spine Physician1207914TX
2363LA2100XAcute Care Nurse Practitioner1207914TX

General Provider Information

NPI Number : 1871465492
Entity Type Code : Individual
Provider Name (Legal Business Name) : IAN MICHAEL CARY ACAGNP-BC
Provider Business Mailing Address
First Line : 5322 EVERGLADE RD
Second Line :
City : DALLAS
State : TX
Zip : 75227-2928
Country : US
Telephone Number : 214-621-9886
Fax Number :
Provider Business Practice Location Address
First Line : 301 N WASHINGTON AVE FL 5
Second Line :
City : DALLAS
State : TX
Zip : 75246-1754
Country : US
Telephone Number : 972-860-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2025
Last Update Date : 01/19/2026

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Directions to “ IAN MICHAEL CARY ACAGNP-BC” Practice Location

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