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Individual
MARY JOYCE PALECEK
Active
Individual
MARY JOYCE PALECEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
753449
TX
363LF0000X
Family Nurse Practitioner
R48132
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
632791YNSX
MEDICARE
TX
05
—
69304718
—
NM
01
—
8JA962
BCBS
TX
01
—
P01999119
MCRR
TX
Enumeration date
08/08/2006
Last updated
04/27/2018
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