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MARYS CLINIC INC NPI 1871875294


NPI Information

NPI: 1871875294
Provider Name: MARYS CLINIC INC

Other Name: MARYS CLINIC

Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Organization

Specialization: Family Health

CLIA Number: 45D2023754

Address:
191 S MANSE AVE
GIDDINGS, TX
ZIP 78942
Phone: (979) 540-2122
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MARYS CLINIC INC is a family health clinical nurse specialist in Giddings, TX. MARYS CLINIC INC NPI is 1871875294. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Marys Clinic.

The provider's business location address is:

191 S MANSE AVE
GIDDINGS, TX
ZIP 78942-433
Phone: (979) 540-2122
Fax: (979) 540-2120

The provider's authorized official is Mary Esther Wells .
The authorized official title is Owner And Provider and has the following contact phone number (979) 540-2122.

The CLIA number assigned to this NPI record is 45D2023754 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2011 and was last updated on 9/12/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SF0001XClinical Nurse SpecialistFamily Health257158TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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