Mary Lorraine Guy-Dial
Individual provider Active NPI Other Technician · Whitehouse, TX
NPI 1194010413 · NPPES record last updated Aug 28, 2024
Key facts
- NPI
- 1194010413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 411 Gatewood Dr
Whitehouse, TX 75791-3325 - Phone
- (903) 714-4544
- NPI assigned
- Jun 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
411 Gatewood Dr
Whitehouse, TX 75791-3325
Mailing address
411 Gatewood Dr
Whitehouse, TX 75791-3325
Phone (903) 714-4544
Other providers in Whitehouse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2024. 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.