Individual
DR. MARY P KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHD, CPNP-PC
Contact information
Practice address
190 BUTTERCUP CREEK BLVD, CEDAR PARK, TX 78613-3772
(512) 336-5824
Mailing address
608 PALO ALTO LN, CEDAR PARK, TX 78613-2941
(512) 947-5128
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
646818
TX
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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