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Individual
DR. MARY FAYE HEWITT
Active
Individual
DR. MARY FAYE HEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K5553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0047EN
BCBS
TX
05
—
0925034-01
—
TX
01
—
2501903
AETNA
TX
01
—
7285182
AETNA HMO
TX
01
—
76-0662160
TAX IDENTIFICATION NUMBER
TX
01
—
848422
HMO BLUE
TX
Enumeration date
10/02/2006
Last updated
02/04/2025
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