MEDICARE: MARY T MCGARRY 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	208D00000X	General Practice Physician	J3353	TX

General Provider Information

NPI Number	:	1881611366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY T MCGARRY MD

Provider Business Mailing Address
First Line	:	5303 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-9126
Country	:	US
Telephone Number	:	214-648-9140
Fax Number	:

Provider Business Practice Location Address
First Line	:	5303 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-9126
Country	:	US
Telephone Number	:	214-648-9140
Fax Number	:

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	03/10/2014

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