Marrietta D. Cline, M.D.
Individual provider Active NPI Pediatrics Physician · Dickinson, TX
NPI 1689604142 · NPPES record last updated Jul 10, 2023
Key facts
- NPI
- 1689604142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- K1399 (TX)
- Practice address
- 624 FM 517 Rd W
Dickinson, TX 77539-3904 - Phone
- (281) 534-1300
- Fax
- (281) 534-1306
- NPI assigned
- Jul 3, 2006
- 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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K1399 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cline Pediatrics | Pediatrics | Current |
Accepting new patients |
| Chca Clear Lake LP | Past | Accepting new patients |
Locations
3828 Hughes Ct
Ste 204
Dickinson, TX 77539
Phone (281) 534-1300
624 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 534-1300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIAFBD/Endpoint/FIAFBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K1399 | TX | Yes |
Addresses
Primary practice location
624 FM 517 Rd W
Dickinson, TX 77539-3904
Mailing address
624 FM 517 Rd W
Dickinson, TX 77539-3904
Phone (281) 534-1300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017QD | Other | TX | BC/BS |
| 00424 | Other | TX | TEXAS CHIP |
| 00606G | Other | TX | MEDICARE ID |
| 00002 | Other | TX | AETNA EDI PROVIDER ID |
| 121246602 | Medicaid | TX | |
| 10024877 | Other | TX | AMERIGROUP |
| 121246604 | Medicaid | TX |
Other providers in Dickinson, TX
- City of Dickinson
- Llora Classen
- Clear Lake Emergency Medical Corps
- Clear Lake Spine Center, LLC
- Cline Pediatrics
- Clinica Familiar Dickinson, LLC
- Katherine Clouser
- Cloverleaf Healthcare Services, LLC.
- Coastal Neurology Associates, PA
- Anna Guerra Coligan
All providers in Dickinson, TX · Pediatrics Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2023. 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.