Provider Demographics
NPI:1730147315
Name:MCCARTHY, JUSTIN HAROLD (MD)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:HAROLD
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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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
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH7368207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE56279Medicare UPIN