Organization Active NPI

Mary L. Van Sickle, MD PA

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1740488253
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MARY L. VAN SICKLE, MD PA
Practice address
7777 Southwest Fwy Ste 616
Houston, TX 77074-1811
Phone
(713) 773-3983
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Mary L Van Sickle, MD
Title
Owner
Phone
(713) 773-3983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

7777 Southwest Fwy Ste 616
Houston, TX 77074-1811

Mailing address

7777 Southwest Fwy Ste 616
Houston, TX 77074-1811
Phone (713) 773-3983

National Provider Directory

National Provider Directory

Locations

7777 Southwest Fwy
Ste 616
Houston, TX 77074
Phone (713) 773-3983

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1740488253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY STE 616",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741811",
            "telephone_number": "713-773-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY STE 616",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741811",
            "telephone_number": "713-773-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY L. VAN SICKLE, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "VAN SICKLE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-773-3983",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "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 Aug 31, 2011; 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.