Mabry, June

Mabry, June is an sole proprietor health care provider with primary practice located at 210 S Judson St , Navasota TX 77868-3704. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Mabry, June can be contacted via phone (936) 825-9209.

Contact Information

Primary practice address
210 S Judson St Navasota TX 77868-3704
Phone: (936) 825-9209
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X F9765 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X F9765 Texas

Profile Details

NPI number 1174574933
LBN Legal business name Mabry, June
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Oct 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174574933 NPPES
Texas MEDICAID 139641820

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