Basic Information
| Provider Information | |||||||||
| NPI: | 1730534959 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCCARTHY | ||||||||
| FirstName: | AMANDA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D., MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6341 FANNIN STREET | ||||||||
| Address2: | SUITE MSB 3.228 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770305389 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7135005650 | ||||||||
| FaxNumber: | 7135000588 | ||||||||
| Practice Location | |||||||||
| Address1: | 6341 FANNIN STREET | ||||||||
| Address2: | SUITE MSB 3.228 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770305389 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7135005650 | ||||||||
| FaxNumber: | 7135000588 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2016 | ||||||||
| LastUpdateDate: | 06/23/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | MD467176 | PA | N | Allopathic & Osteopathic Physicians | Pediatrics | 208M00000X | C1-0013049 | DE | N | Allopathic & Osteopathic Physicians | Hospitalist | 208000000X | T4428 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.