Individual
MARY ANN FORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.C., C.N.M., M.S.
Contact information
Practice address
1076 E LOS EBANOS BLVD, BROWNSVILLE, TX 78520-9988
(956) 544-2001
(956) 546-4567
Mailing address
1076 E LOS EBANOS BLVD, BROWNSVILLE, TX 78520-9988
(956) 544-2001
(956) 546-4567
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
239542
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0900706-01
—
TX
01
—
81N053
BLUE CROSS
TX
Enumeration date
05/27/2005
Last updated
07/16/2015
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