Fore, Mary Ann

Fore, Mary Ann is an individual health care provider with primary practice located at 1076 E Los Ebanos Blvd , Brownsville TX 78520-9988. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Fore, Mary Ann can be contacted via phone (956) 544-2001.

Contact Information

Primary practice address
1076 E Los Ebanos Blvd Brownsville TX 78520-9988
Fax: (956) 546-4567
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 239542 Texas

Profile Details

NPI number 1184627655
LBN Legal business name Fore, Mary Ann
Credentials R.N.C., C.N.M., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jul 16th, 2015 - about 9 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 1184627655 NPPES
Texas Other 81N053 BLUE CROSS
Texas MEDICAID 0900706-01 BLUE CROSS

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