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Individual

DR. MARY E. ROUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H4661
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135995203
TX
05
135995209
TX
05
135995210
TX
05
135995211
TX
05
135995212
TX
Enumeration date
10/31/2005
Last updated
06/16/2021
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