MEDICARE: PATRICK J. MCNAMARA, M.D., P.A.

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	174400000X	Specialist	G7447	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G7447	OTHER		LICENSE

General Provider Information

NPI Number	:	1699979559
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATRICK J. MCNAMARA, M.D., P.A.

Provider Business Mailing Address
First Line	:	1512 W ALABAMA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-4106
Country	:	US
Telephone Number	:	713-524-4837
Fax Number	:	713-529-8350

Provider Business Practice Location Address
First Line	:	1512 W ALABAMA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-4106
Country	:	US
Telephone Number	:	713-524-4837
Fax Number	:	713-529-8350

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. PATRICK JAMES MCNAMARA
Credential	:	M.D.
Telephone Number	:	713-524-4837

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	10/22/2007

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