Individual
CARL C MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIANS ASSISTANT
Contact information
Practice address
4900 FANNIN ST, HOUSTON, TX 77004-5706
(713) 526-9821
(713) 526-4680
Mailing address
4900 FANNIN ST, HOUSTON, TX 77004-5706
(713) 446-3018
(713) 526-4680
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01360
TX
Other
Enumeration date
10/19/2006
Last updated
02/26/2008
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