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NPI Code Detail

MEDICARE: CARRIE J. MCADAMS MD

MEDICARE: CARRIE J. MCADAMS 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
12084P0800XPsychiatry PhysicianM9492TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BP1-0026075OTHERINSTITUTIONAL PERMIT

General Provider Information

NPI Number : 1427252642
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE J. MCADAMS MD
Provider Business Mailing Address
First Line : PO BOX 845347
Second Line :
City : DALLAS
State : TX
Zip : 75284-5347
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1430 EMPIRE CENTRAL DR
Second Line :
City : DALLAS
State : TX
Zip : 75247-4032
Country : US
Telephone Number : 214-645-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2007
Last Update Date : 02/26/2023

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