Individual
DR. MARY ELIZABETH HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4920 NE STALLINGS DR, NACOGDOCHES, TX 75965-1254
(936) 558-3715
(936) 558-3701
Mailing address
4920 NE STALLINGS DR, NACOGDOCHES, TX 75965-1254
(936) 558-3715
(936) 558-3701
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2013045556
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100033980A
—
OK
05
—
129804402
—
TX
05
—
129804403
—
TX
05
—
129804404
—
TX
05
—
129804405
—
TX
05
—
129804406
—
TX
Enumeration date
06/15/2006
Last updated
09/09/2015
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