Maribeth Cruz Bobadilla, M.D.
Individual provider Active NPI Family Medicine Physician · Willis, TX
NPI 1083907893 · NPPES record last updated Jul 5, 2016
Key facts
- NPI
- 1083907893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- P8763 (TX)
- Practice address
- 201 Lincoln RDG
Willis, TX 77378-1420 - Phone
- (936) 539-4004
- NPI assigned
- May 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P8763 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Community Health Center, Inc. | Family Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P8763 | TX | Yes |
Addresses
Primary practice location
201 Lincoln RDG
Willis, TX 77378-1420
Mailing address
605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (936) 539-4004
Other providers in Willis, TX
- Mark Edward Athans
- Kari Avant
- Kristyn Nicole Barton
- Best Urgent Care, PLLC
- Better Care Willis PLLC
- Tyler Justin Bowen
- Lindsay Paige Boyer
- Leanette Marie Burns
- Burton'S Home Health Inc.
- Andrew Carroll
All providers in Willis, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.