Organization
ABILENE PERINATAL ASSOCIATES, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK C. MABERRY M.D. (ADMINISTRATOR)
(325) 670-6690
Entity
Organization
Contact information
Practice address
1850 HICKORY ST FL 2, ABILENE, TX 79601-2325
(325) 670-6690
(325) 670-6593
Mailing address
1850 HICKORY ST FL 2, ABILENE, TX 79601-2325
(325) 670-6690
(325) 670-6593
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G5322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060KA
BLUE CROSS BLUE SHIELD
TX
05
—
159417801
—
TX
Enumeration date
03/06/2007
Last updated
01/09/2012
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