Provider Demographics
NPI:1255351565
Name:MCCARTY, TOBIN ANNE (MD)
Entity type:Individual
Prefix:
First Name:TOBIN
Middle Name:ANNE
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TOBIN
Other - Middle Name:ANNE
Other - Last Name:MCGOWEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3705 MEDICAL PARKWAY
Mailing Address - Street 2:SUITE 570
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1019
Mailing Address - Country:US
Mailing Address - Phone:512-454-2554
Mailing Address - Fax:
Practice Address - Street 1:3705 MEDICAL PARKWAY
Practice Address - Street 2:SUITE 570
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1019
Practice Address - Country:US
Practice Address - Phone:512-454-2554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9499207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC142TYOtherBCBS
NC5905457Medicaid
7209780OtherAETNA
NC808487OtherPARTNERS
NC203924OtherMEDCOST
WV3810007207Medicaid
VA1255351565Medicaid