Individual
JUNE MABRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
210 S JUDSON ST, NAVASOTA, TX 77868-3704
(936) 825-9209
Mailing address
130 CHORALE GROVE CT, CONROE, TX 77384-5049
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
F9765
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
F9765
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139641820
—
TX
Enumeration date
05/15/2006
Last updated
10/27/2008
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