Individual
MARY CATHERINE WEGNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5950 SARATOGA BLVD, CHRISTUS SPOHN SOUTH, CORPUS CHRISTI, TX 78411
(361) 985-5700
Mailing address
4444 CORONA, SUITE 232, CORPUS CHRISTI, TX 78411
(361) 857-8525
(361) 857-8809
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
465279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84020C
BCBS
TX
Enumeration date
04/26/2006
Last updated
07/08/2007
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