Individual
MARY WISBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 824-1170
Mailing address
1 BAYLOR PLZ # BCM320, HOUSTON, TX 77030-3411
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
U3382
TX
Other
Enumeration date
03/25/2020
Last updated
01/20/2024
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