Healthcare Provider Details

I. General information

NPI: 1376955047
Provider Name (Legal Business Name): THOMAS RAYMOND MCCARTY III M.D., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2014
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 FANNIN ST STE 1201
HOUSTON TX
77030-2740
US

IV. Provider business mailing address

6550 FANNIN ST STE 1201
HOUSTON TX
77030-2740
US

V. Phone/Fax

Practice location:
  • Phone: 713-441-9770
  • Fax:
Mailing address:
  • Phone: 713-441-9770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberT8596
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number56292
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: