Maxwell, Mary S
Maxwell, Mary S is an sole proprietor health care provider with primary practice located at 4107 Medical Pkwy Ste 210 , Austin TX 78756-3738. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Maxwell, Mary S can be contacted via phone (512) 451-4488.Contact Information
Primary practice address
4107 Medical Pkwy Ste 210
Austin TX 78756-3738
Phone: (512) 451-4488
Fax: (512) 453-2707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | H0613 | Texas |
Profile Details
| NPI number | 1669469235 |
|---|---|
| LBN Legal business name | Maxwell, Mary S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Jan 22nd, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669469235 | NPPES |
| Texas | MEDICAID | 131432004 |
Popular Providers
-
Varghese, Koshy K
7800 Shoal Creek Blvd Ste 130W , Austin TX 78757-1040 -
Rana, Nehal Doshi
3801 N Lamar Blvd , Austin TX 78756-4080 -
Fuentevilla, Ana
2500 W William Cannon Dr Ste 205 , Austin TX 78745-5288 -
Herrington, Heather Leigh
12731 Research Blvd Ste B200 , Austin TX 78759 -
Fry, Liam Mccoy
1108 Lavaca St Suite 110-320, Austin TX 78701-2172 -
Russell, Peggy M
1108 Lavaca St 110-320, Austin TX 78701-2172 -
Moraw, Denise Rene
9007 Rock Way Dr , Austin TX 78736-7731 -
Cortes, Leslie Ludwig
12401 Research Blvd Ste 220 , Austin TX 78759-2314