Healthcare Provider Details

I. General information

NPI: 1598252405
Provider Name (Legal Business Name): MARIAN CHEN MCCARTY DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2018
Last Update Date: 04/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10120 GREENHOUSE RD
CYPRESS TX
77433-4981
US

IV. Provider business mailing address

10120 GREENHOUSE RD
CYPRESS TX
77433-4981
US

V. Phone/Fax

Practice location:
  • Phone: 832-237-4746
  • Fax:
Mailing address:
  • Phone: 832-237-4746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number33297
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: