Individual
DR. MARYMICHAEL SMITH WERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4000 SPENCER HWY, PASADENA, TX 77504
(281) 784-1500
Mailing address
4431 BAYBERRY RIDGE LN, MANVEL, TX 77578-2051
(716) 228-1159
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P3096
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619110988
TRICARE
TX
05
—
303109801
—
TX
01
—
8DH241
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
P01091219
RAILROAD MEDICARE
TX
Enumeration date
04/15/2009
Last updated
06/26/2018
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