Provider Demographics
NPI:1992363709
Name:MCCARTY ORTHODONTICS, PC
Entity Type:Organization
Organization Name:MCCARTY ORTHODONTICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:CHEN
Authorized Official - Last Name:MCCARTY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-237-4746
Mailing Address - Street 1:5308 SOUTHAMPTON EST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1778
Mailing Address - Country:US
Mailing Address - Phone:713-724-4485
Mailing Address - Fax:
Practice Address - Street 1:10120 GREENHOUSE RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7770
Practice Address - Country:US
Practice Address - Phone:832-237-4746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty