Daulong, Mary R.
Daulong, Mary R. is an individual health care provider with primary practice located at 15814 Champion Forest Dr Ste 240, Spring TX 77379-7141. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Daulong, Mary R. can be contacted via phone (281) 866-9505.Contact Information
Primary practice address
15814 Champion Forest Dr Ste 240
Spring TX 77379-7141
Phone: (281) 866-9505
Fax: (281) 587-9791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1008928 | Texas |
Profile Details
| NPI number | 1699778845 |
|---|---|
| LBN Legal business name | Daulong, Mary R. |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Dec 29th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699778845 | NPPES |
| Texas | Other | 0019105 | BCBS BLUE LINK |
| Texas | Other | 8T0825 | BCBS BLUE LINK |
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