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Organization

MARY L. VAN SICKLE, MD PA

Active
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Organization

MARY L. VAN SICKLE, MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY L VAN SICKLE MD (OWNER)
(713) 773-3983
Entity
Organization

Contact information

Practice address
7777 SOUTHWEST FWY STE 616, HOUSTON, TX 77074-1811
(713) 773-3983
Mailing address
7777 SOUTHWEST FWY STE 616, HOUSTON, TX 77074-1811
(713) 773-3983

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—

Other

Enumeration date
07/05/2007
Last updated
08/31/2011
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