Healthcare Provider Details

I. General information

NPI: 1891989414
Provider Name (Legal Business Name): LINDSEY NICOLE MCCARTHY CST/CFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2007
Last Update Date: 01/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2612 HIDDEN VALLEY DR
MCKINNEY TX
75071-2531
US

IV. Provider business mailing address

2612 HIDDEN VALLEY DR
MCKINNEY TX
75071-2531
US

V. Phone/Fax

Practice location:
  • Phone: 214-625-9629
  • Fax: 214-585-4969
Mailing address:
  • Phone: 214-625-9629
  • Fax: 214-585-4969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number520466
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License NumberC07-1107A
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: