Provider Demographics
NPI:1194732776
Name:JUSTIN MCCARTHY, M.D., P.A.
Entity type:Organization
Organization Name:JUSTIN MCCARTHY, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MOPA
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-761-0722
Mailing Address - Street 1:7202 SLIDE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2555
Mailing Address - Country:US
Mailing Address - Phone:806-761-0722
Mailing Address - Fax:806-797-1265
Practice Address - Street 1:7202 SLIDE RD STE 100
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2555
Practice Address - Country:US
Practice Address - Phone:806-761-0722
Practice Address - Fax:806-797-1265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7368207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty