Healthcare Provider Details

I. General information

NPI: 1336430008
Provider Name (Legal Business Name): THOMAS RANDOLPH MCCARTY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2011
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6431 FANNIN ST
HOUSTON TX
77030-1501
US

IV. Provider business mailing address

6431 FANNIN JJL 451
HOUSTON TX
77030
US

V. Phone/Fax

Practice location:
  • Phone: 713-500-7863
  • Fax: 713-500-0503
Mailing address:
  • Phone: 713-500-7863
  • Fax: 713-500-0503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR2668
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberE-8549
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: