NPIMap

Individual provider Active NPI

Marian Kathleen Querry, D.O.

  • Surgery Physician
  • Nacogdoches, TX
National Provider Identifier
1356334783
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
K5671 Issued in TX
Practice address
1020 North St
Nacogdoches, TX 75961-4406
Phone
(936) 462-4325
Fax
(936) 205-4019
NPI assigned
Aug 31, 2005
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K5671 TX
Surgery Physician 208600000X K5671 TX Primary

Addresses

Primary practice location

1020 North St
Nacogdoches, TX 75961-4406

Mailing address

1020 North St
Nacogdoches, TX 75961-4406
Phone (936) 462-4325

Other identifiers 1

IdentifierTypeStateIssuer
152647702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105000713 TX Practitioner - General SurgeryPractitioner - Family Practice 0446208540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians
Absolute Concierge Health Care, LLCGroup PAC ID 8224278403, 2 clinicians

Practice addresses (Care Compare)

1020 N St
Nacogdoches, TX 75961-4406
Phone (936) 462-4325

390 W Texas Ave
Waskom, TX 75692-9113
Phone (903) 687-2500

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1035
Removal of skin lesions19
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Concierge Health Care, LLC Family Medicine CurrentSince May 20, 2013 Accepting new patients
BHS Physicians Network, Inc Family Medicine CurrentSince Feb 9, 2018 Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 9, 2018 Accepting new patients
Premier Provider Health PA Past Accepting new patients
Marshall Health Services Inc Family Medicine PastSince Sep 1, 2009 Accepting new patients
East Texas Medical Center-Gilmer Past Accepting new patients
PRMC Healthcare Group Inc Family Medicine Past Accepting new patients
East Texas Medical Center Gilmer Past Accepting new patients
Premier Provider Health PA Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

1020 North St
Nacogdoches, TX 75961
Phone (936) 462-4325

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

390 W Texas Ave
Waskom, TX 75692
Phone (903) 687-2500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1356334783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614406",
            "telephone_number": "936-462-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614406",
            "telephone_number": "936-462-4325",
            "fax_number": "936-205-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUERRY",
        "first_name": "MARIAN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5671",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K5671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152647702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.