Provider Demographics
NPI:1265854863
Name:MATTHEW F MCCARTY MD PLLC
Entity Type:Organization
Organization Name:MATTHEW F MCCARTY MD PLLC
Other - Org Name:BALCONES PAIN CONSULTANTS-CEDAR PARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCCARTY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-834-4141
Mailing Address - Street 1:4544 S LAMAR BLVD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1500
Mailing Address - Country:US
Mailing Address - Phone:512-834-4141
Mailing Address - Fax:512-834-4142
Practice Address - Street 1:500 W WHITESTONE BLVD STE 250
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2271
Practice Address - Country:US
Practice Address - Phone:512-834-4141
Practice Address - Fax:512-834-4142
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BALCONES PAIN CONSULTANTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-16
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5308207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty