Individual
DR. MARY F. BARNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3614 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2539
(936) 560-9000
(936) 560-9009
Mailing address
3614 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2539
(936) 560-9000
(936) 560-9009
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L3239
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467787390
GROUP NPI
TX
05
—
207405601
—
TX
05
—
207405602
—
TX
05
—
207405603
—
TX
01
—
800443421
GROUP TAX ID
TX
Enumeration date
07/17/2006
Last updated
08/12/2016
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