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Individual

DR. MARY ANN TY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2500 CITY WEST BLVD., 775, HOUSTON, TX 77042
(713) 779-8963
(713) 774-4600
Mailing address
2500 CITY WEST BLVD., 775, HOUSTON, TX 77042
(713) 779-8963
(713) 774-4600

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H3289
TX

Other

Enumeration date
02/28/2008
Last updated
02/28/2008
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