Individual
DR. MARY GRACE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 N TOM GREEN AVE, ODESSA, TX 79761-4525
(432) 332-0090
(833) 908-2112
Mailing address
601 N TOM GREEN AVE, ODESSA, TX 79761-4525
(432) 332-0090
(833) 908-2112
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
Q7016
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200654770 A
—
OK
05
—
356781001
—
TX
05
—
356781002
—
TX
05
—
93505264
—
NM
Enumeration date
04/19/2012
Last updated
02/21/2024
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