Individual
MARY PURNELL MADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1315 ST JOSEPH PKWY, #302, HOUSTON, TX 77002-8233
(713) 659-3284
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(713) 659-3284
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D5269
TX
Other
Enumeration date
10/14/2005
Last updated
05/05/2010
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