Provider Demographics
NPI:1679598957
Name:MCCANTS, NAOMI LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:LEE
Last Name:MCCANTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1934 CAROLINE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8210
Mailing Address - Country:US
Mailing Address - Phone:713-276-3079
Mailing Address - Fax:713-739-1233
Practice Address - Street 1:1934 CAROLINE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8210
Practice Address - Country:US
Practice Address - Phone:713-286-6001
Practice Address - Fax:713-286-6092
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3319207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI60168Medicare UPIN
TX8J2295Medicare PIN