Organization
MARY ANN WASHINGTON M.D.,P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAMILLE GUILLEN (CLINICAL SUPERVISOR)
(713) 637-6320
Entity
Organization
Contact information
Practice address
1140 WESTMONT DR, SUITE 320, HOUSTON, TX 77015-4363
(713) 637-6320
(713) 637-0590
Mailing address
5116 BISSONNET ST, SUITE 459, BELLAIRE, TX 77401-4007
(713) 637-6320
(713) 637-0590
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
J0721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124363602
—
TX
Enumeration date
10/22/2015
Last updated
06/28/2016
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