Organization
GARY R. MENNIE, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY ROY MENNIE M.D. (OWNER)
(409) 727-4642
Entity
Organization
Contact information
Practice address
2770 AERO DRIVE, SUITE 1, PORT ARTHUR, TX 77640
(409) 727-4642
(409) 721-9774
Mailing address
2770 AERO DRIVE, SUITE 1, PORT ARTHUR, TX 77640
(409) 727-4642
(409) 721-9774
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K9128
TX
Other
Enumeration date
10/12/2006
Last updated
05/22/2008
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