Organization Active NPI

Marian Kathleen Querry DO PC

  • Surgery Physician
  • Nacogdoches, TX
National Provider Identifier
1508174244
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
K5671 Issued in TX
Legal business name
MARIAN KATHLEEN QUERRY DO PC
Practice address
1020 North St
Nacogdoches, TX 75961-4406
Phone
(936) 462-4325
Fax
(936) 205-4019
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Authorized official

Name
Dr. Marian Kathleen Querry, DO
Title
President
Phone
(936) 462-4325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X K5671 TX Primary

Addresses

Primary practice location

1020 North St
Nacogdoches, TX 75961-4406

Mailing address

103 Winifreds Way
Hallsville, TX 75650-6223
Phone (903) 331-0506

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1508174244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WINIFREDS WAY",
            "city": "HALLSVILLE",
            "state": "TX",
            "postal_code": "756506223",
            "telephone_number": "903-331-0506",
            "fax_number": "903-331-0462"
        },
        {
            "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": {
        "organization_name": "MARIAN KATHLEEN QUERRY DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "QUERRY",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-462-4325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "K5671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.