MEDICARE: LINDA KAY CARNEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	EMTL-2020-019	GU
2	208D00000X	General Practice Physician	M1039	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8V5640	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356317929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA KAY CARNEY MD

Provider Business Mailing Address
First Line	:	PO BOX 7
Second Line	:
City	:	BUDA
State	:	TX
Zip	:	78610-0007
Country	:	US
Telephone Number	:	512-295-7877
Fax Number	:	512-295-4777

Provider Business Practice Location Address
First Line	:	1760 FM 967
Second Line	:	SUITE B
City	:	BUDA
State	:	TX
Zip	:	78610-2884
Country	:	US
Telephone Number	:	512-295-7877
Fax Number	:	512-295-4777

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	12/17/2020

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Directions to “ LINDA KAY CARNEY MD” Practice Location

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