Individual
MARY CATHERINE SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 BARBARA JORDAN BLVD, SUITE 300, AUSTIN, TX 78723-3077
(512) 478-8116
(512) 478-9368
Mailing address
1301 BARBARA JORDAN BLVD, SUITE 300, AUSTIN, TX 78723-3077
(512) 478-8116
(512) 478-9368
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
N4066
TX
207XP3100X
Pediatric Orthopaedic Surgery Physician
N4066
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
N4066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2080327-05
—
TX
01
—
2080327-06
MEDICAID CSHCN ROT
TX
05
—
208032701
—
TX
01
—
208032702
MEDICAID CSHCN
TX
01
—
8CD812
BCBS INDIVIDUAL #
TX
Enumeration date
07/07/2006
Last updated
09/18/2012
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