Individual
MARY BISHOP PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 531-4500
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
BP10025438
TX
207P00000X
Emergency Medicine Physician
Primary
N1422
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199091304
—
TX
05
—
199091305
—
TX
05
—
199091307
—
TX
05
—
199091308
—
TX
01
—
75-0818167-048
TRICARE
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
750818167022
TRICARE
TX
01
—
8BP168
BCBS
TX
01
—
8BZ886
BCBS
TX
01
—
8DF420
BCBS
TX
01
—
8DU722
BCBS
TX
01
—
P00735134
RAIL ROAD
TX
01
—
P01304485
RAIL ROAD
TX
01
—
TIN PLUS 005
TRICARE JACKSONVILLE LOCATION
TX
01
—
TIN PLUS 015
TRICARE TYLER LOCATION
TX
01
—
TIN PLUS 044
TRICARE WINNSBORO LOCATION
TX
Enumeration date
08/20/2008
Last updated
11/22/2023
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