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NPI Code Detail

MEDICARE: CARA GRACE MCDERMOTT RN

MEDICARE: CARA GRACE MCDERMOTT RN
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
1163W00000XRegistered Nurse1083938TX

General Provider Information

NPI Number : 1659223766
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA GRACE MCDERMOTT RN
Provider Business Mailing Address
First Line : 7777 FOREST LN STE C840
Second Line :
City : DALLAS
State : TX
Zip : 75230-2594
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7777 FOREST LN STE C840
Second Line :
City : DALLAS
State : TX
Zip : 75230-2594
Country : US
Telephone Number : 972-566-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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