Provider Demographics
NPI:1174791867
Name:MARY T. MCGARRY, M.D. P.A.
Entity type:Organization
Organization Name:MARY T. MCGARRY, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:T
Authorized Official - Last Name:MCGARRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-762-8605
Mailing Address - Street 1:4004 MILDENHALL DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3166
Mailing Address - Country:US
Mailing Address - Phone:214-762-8605
Mailing Address - Fax:972-596-9086
Practice Address - Street 1:4004 MILDENHALL DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3166
Practice Address - Country:US
Practice Address - Phone:214-762-8674
Practice Address - Fax:972-596-9086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3353207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty