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Organization
MARY PARRISH
Active
Organization
MARY PARRISH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA RODRIGUEZ (OFFICE MANAGER)
(830) 774-4094
Entity
Organization
Contact information
Practice address
119 E ACADEMY ST, DEL RIO, TX 78840-6072
(830) 774-4094
(830) 774-5066
Mailing address
119 E ACADEMY ST, DEL RIO, TX 78840-6072
(830) 774-4094
(830) 774-5066
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
528237
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111487803
—
TX
Enumeration date
05/10/2007
Last updated
01/18/2018
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