Mckenzie, Mary
Mckenzie, Mary is an individual health care provider with primary practice located at 2021 W Loop 281 , Longview TX 75604-2504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mckenzie, Mary can be contacted via phone (903) 295-1396.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 556727 | Texas |
Profile Details
| NPI number | 1013012509 |
|---|---|
| LBN Legal business name | Mckenzie, Mary |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Sep 10th, 2012 - about 13 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 | 1013012509 | NPPES |
| Texas | Other | 8N3057 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 127102509 | BLUE CROSS BLUE SHIELD |
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