Individual
MARY J GARNEPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
403 OGLETREE DR, SUITE 200, LIVINGSTON, TX 77351-9444
(936) 327-7799
Mailing address
403 OGLETREE DR, SUITE 200, LIVINGSTON, TX 77351-9444
(936) 327-7799
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H8650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10050921
AMERIGROUP
TX
05
—
111454804
—
TX
05
—
111454806
—
TX
01
—
1116871
AETNA
TX
01
—
21140705603
BEECH STREET
TX
01
—
48587742
CIGNA
TX
01
—
8H8816
BCBS
TX
Enumeration date
10/17/2005
Last updated
11/02/2013
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