Individual
MRS. MARY O BAIYERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-7335
(806) 743-7329
Mailing address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-7335
(806) 743-7329
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L2120
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
1055
WI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
L2120
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155673004
—
TX
05
—
174888101
—
TX
Enumeration date
08/08/2006
Last updated
07/08/2024
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