Healthcare Provider Details

I. General information

NPI: 1992363709
Provider Name (Legal Business Name): MCCARTY ORTHODONTICS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2019
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10120 GREENHOUSE RD
CYPRESS TX
77433-7770
US

IV. Provider business mailing address

5308 SOUTHAMPTON EST
HOUSTON TX
77005-1778
US

V. Phone/Fax

Practice location:
  • Phone: 832-237-4746
  • Fax:
Mailing address:
  • Phone: 713-724-4485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MARIAN CHEN MCCARTY
Title or Position: ORTHODONTIST
Credential: DDS
Phone: 832-237-4746