Individual
DR. MARY RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
190 HEIGHTS BLVD, HOUSTON, TX 77007-3729
(713) 529-3597
Mailing address
190 HEIGHTS BLVD, HOUSTON, TX 77007-3729
(713) 529-3597
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H4106
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127728705
—
TX
01
—
81886K
BCBS THRU AEMA
TX
01
—
930075427
RAILROAD THRU AEMA
TX
Enumeration date
03/16/2006
Last updated
07/10/2013
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