Organization
MARYS CLINIC INC
Active
Other names
marys clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ESTHER WELLS FNP-BC (OWNER AND PROVIDER)
(979) 540-2122
Entity
Organization
Contact information
Practice address
191 S MANSE AVE, GIDDINGS, TX 78942-3433
(979) 540-2122
(979) 540-2120
Mailing address
191 S MANSE AVE, GIDDINGS, TX 78942-3433
(979) 540-2122
(979) 540-2120
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
257158
TX
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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