Healthcare Provider Details

I. General information

NPI: 1639828122
Provider Name (Legal Business Name): CAROLINE FINNERTY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 S INTERSTATE 35 E
DENTON TX
76210-6850
US

IV. Provider business mailing address

3301 MATLOCK RD
ARLINGTON TX
76015-2908
US

V. Phone/Fax

Practice location:
  • Phone: 940-384-3535
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberV8249
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: