Maria Grace Dudley, RPH
Individual provider Active NPI Pharmacist · Beeville, TX
NPI 1306156286 · NPPES record last updated Oct 13, 2010
Key facts
- NPI
- 1306156286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 24020 (TX)
- Practice address
- 300 E Houston St
Beeville, TX 78102-4822 - Phone
- (361) 362-0469
- NPI assigned
- Oct 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24020 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24020 | TX | Yes |
Addresses
Primary practice location
300 E Houston St
Beeville, TX 78102-4822
Mailing address
329 Atlantic St
Corpus Christi, TX 78404-1840
Phone (361) 888-8118
Other providers in Beeville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2010. 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.