Healthcare Provider Details

I. General information

NPI: 1003897000
Provider Name (Legal Business Name): THOMAS J CARTWRIGHT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: THOMAS J CARTWRIGHT MD PLLC

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 03/07/2023
Certification Date: 05/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 PINECROFT DR STE 280
SHENANDOAH TX
77380-3281
US

IV. Provider business mailing address

330 RAYFORD RD STE 397
SPRING TX
77386-1980
US

V. Phone/Fax

Practice location:
  • Phone: 281-824-3624
  • Fax: 281-419-6788
Mailing address:
  • Phone: 281-824-3624
  • Fax: 281-419-6788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberH9500
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberH9500
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: