Provider Demographics
NPI:1033112396
Name:MCCARY, LEIGH SUSAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:SUSAN
Last Name:MCCARY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 CORNISH CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-4706
Mailing Address - Country:US
Mailing Address - Phone:512-327-4243
Mailing Address - Fax:512-327-4245
Practice Address - Street 1:6836 BEE CAVES RD
Practice Address - Street 2:STE 112
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5070
Practice Address - Country:US
Practice Address - Phone:512-327-4243
Practice Address - Fax:512-327-4245
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4324207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092404504Medicaid
TX092404503Medicaid
TX092404504Medicaid
TX259832YKXYMedicare PIN
TXH08573Medicare UPIN
TX092404503Medicaid