Active NPI
Mary Mabry, P. A.
- Physician Assistant
- Houston, TX
National Provider Identifier
1376620401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02320
- Practice address
- 6710 Meadowlawn St
Houston, TX 77023-4014 - Phone
- (713) 923-9971
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02320 | TX | Primary |
Addresses
Primary practice location
6710 Meadowlawn St
Houston, TX 77023-4014
Mailing address
6710 Meadowlawn St
Houston, TX 77023-4014
Phone (713) 923-9971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA02320 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1376620401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6710 MEADOWLAWN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770234014",
"telephone_number": "713-923-9971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6710 MEADOWLAWN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770234014",
"telephone_number": "713-923-9971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MABRY",
"first_name": "MARY",
"credential": "P. A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.