MEDICARE: DR. GREGORY BRYAN CARTWRIGHT M.D.

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
1	207Q00000X	Family Medicine Physician	H7544	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	H7544	OTHER	TX	LICENSE

General Provider Information

NPI Number	:	1912957499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY BRYAN CARTWRIGHT M.D.

Provider Business Mailing Address
First Line	:	2712 NORWOOD LN
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-1247
Country	:	US
Telephone Number	:	817-897-0687
Fax Number	:	817-897-0687

Provider Business Practice Location Address
First Line	:	3109 6TH AVE STE A
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76110-3800
Country	:	US
Telephone Number	:	817-923-7055
Fax Number	:	817-923-7902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	12/16/2011

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