Edgerton, Mary E

Edgerton, Mary E is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Edgerton, Mary E can be contacted via phone (713) 792-6161.

Contact Information

Primary practice address
1515 Holcombe Blvd Houston TX 77030-4009
Phone: (713) 792-6161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME95161 Florida
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X M4769 Texas

Profile Details

NPI number 1699790766
LBN Legal business name Edgerton, Mary E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 30th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699790766 NPPES
Texas Other 8S2503 BCBS (MDACC)
Texas Other 41050 BCBS (MDACC)
Texas MEDICAID 274876200 BCBS (MDACC)
Texas MEDICAID 194617001 (MDACC) BCBS (MDACC)

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