Provider Demographics
NPI:1982685715
Name:MCCARTNEY, PAUL DAVID (DC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:DAVID
Last Name:MCCARTNEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 E OLD SETTLERS BLVD
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-2211
Mailing Address - Country:US
Mailing Address - Phone:512-238-7625
Mailing Address - Fax:512-238-6064
Practice Address - Street 1:111 E OLD SETTLERS BLVD
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2211
Practice Address - Country:US
Practice Address - Phone:512-238-7625
Practice Address - Fax:512-238-6064
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6884111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
350047493OtherRAILROAD MEDICARE
TX87800YOtherBLUE CROSS BLUE SHIELD
350047493OtherRAILROAD MEDICARE
TXU63442Medicare UPIN