Mary Mercado MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

J4350 Issued in TX

Legal business name

MARY MERCADO MD PA

Practice address

6807 Emmett F Lowry Expy
Suite 304
Texas City, TX 77591-2546

Phone

(409) 935-8755

Fax

(409) 933-0171

NPI assigned

Nov 6, 2006

Last updated

Sep 2, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mary Mercado, MD

Title

President Physician

Phone

(409) 935-8755

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1174692297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 EMMETT F LOWRY EXPY",
            "address_2": "SUITE 304",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912546",
            "telephone_number": "409-935-8755",
            "fax_number": "409-933-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 EMMETT F LOWRY EXPY",
            "address_2": "SUITE 304",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912546",
            "telephone_number": "409-935-8755",
            "fax_number": "409-933-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY MERCADO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT  PHYSICIAN",
        "authorized_official_telephone_number": "409-935-8755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J4350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mars Hospice LLC
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• Dora E Martin, MSN, WHCNP
• Shaymayne Andrea Martinez, LMSW
• Mary Jo Godinich MD PA
• Cheryl Renee Mason
• Rebecca Sue Mathis, RN
• Ashley Nicole Maxie
• Leslie Scruggs Mayer, D.D.S.
• Gregory Wayne McAfee Jr.

• Specialist in Texas City, TX
• Providers in Texas City, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.