Healthcare Provider Details

I. General information

NPI: 1376589101
Provider Name (Legal Business Name): ADAM B CARY MC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 04/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3308 PRESTON RD STE 350-283
PLANO TX
75093-7453
US

IV. Provider business mailing address

3308 PRESTON RD STE 350-283
PLANO TX
75093-7453
US

V. Phone/Fax

Practice location:
  • Phone: 214-471-5975
  • Fax: 866-476-1204
Mailing address:
  • Phone: 361-960-7858
  • Fax: 866-476-1204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberM2581
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberM2581
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: