Provider Demographics
NPI:1104409358
Name:THOMAS J CARTWRIGHT MD PLLC
Entity type:Organization
Organization Name:THOMAS J CARTWRIGHT MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JACKSON
Authorized Official - Last Name:CARTWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-824-3624
Mailing Address - Street 1:330 RAYFORD RD STE 397
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1980
Mailing Address - Country:US
Mailing Address - Phone:281-824-3624
Mailing Address - Fax:281-419-6788
Practice Address - Street 1:9200 PINECROFT DR STE 280
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3281
Practice Address - Country:US
Practice Address - Phone:281-824-3624
Practice Address - Fax:281-419-6788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX125728901Medicaid
TXR0097252OtherDPS
TXR0097252OtherDPS