Gary McCord, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Caldwell, TX
NPI 1992808232 · NPPES record last updated Feb 14, 2008
Key facts
- NPI
- 1992808232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- G5353 (TX)
- Practice address
- 1101 Woodson Dr
Caldwell, TX 77836-1052 - Phone
- (979) 567-3245
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G5353 | TX | MD | Diagnostic Radiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G5353 | TX | Yes |
Addresses
Primary practice location
1101 Woodson Dr
Caldwell, TX 77836-1052
Mailing address
PO Box 339
Wellborn, TX 77881-0339
Phone (979) 567-3245
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00K48U | Other | TX | BLUE CROSS BLUE SHIELD |
Other providers in Caldwell, TX
- Elza Leroy Kutch
- Kristel Dawn Leubner
- Beverly Lilie
- Mendy Luna
- Kelly Jo Mattila
- Suzanne M McLerran
- Heather Leeann Mills
- Christina Marie Neugebauer
- Kia E Parsi
- Raven Pierre
All providers in Caldwell, TX · Diagnostic Radiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.