Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 319993 | LA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 36935 | AL |
N | 207XS0106X | Orthopaedic Hand Surgeon | R7815 | TX |
NPI | 1326485319 |
---|---|
Provider Name | Matthew Rand Mccarley |
First Address | Pearland, TX 77584-7298 |
Second Address | Lake Charles, LA 70601-8990 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2013 |
Last Update Date | 11/01/2022 |