Provider Demographics
NPI:1114390416
Name:MCCARTAN, TINA (ARNP-C)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:
Last Name:MCCARTAN
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST STE 2020
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2736
Mailing Address - Country:US
Mailing Address - Phone:713-800-6212
Mailing Address - Fax:713-800-6241
Practice Address - Street 1:6560 FANNIN ST STE 2020
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2736
Practice Address - Country:US
Practice Address - Phone:713-800-6212
Practice Address - Fax:713-800-6241
Is Sole Proprietor?:No
Enumeration Date:2015-11-09
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140238363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health