Organization
DR. MARY DIANE WAY
Active
Other names
MDianeWay, Dr. Diane Way
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA A MACCALLUM-SCHMIDT BILLING (OFFICE MANAGER)
(210) 623-0140
Entity
Organization
Contact information
Practice address
1811 BURR OAK LN, ADKINS, TX 78101-2606
(210) 364-2430
Mailing address
1811 BURR OAK LN, ADKINS, TX 78101-2606
(210) 364-2430
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508857608
BILLING FOR DR. WAY
TX
Enumeration date
10/13/2020
Last updated
10/13/2020
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