Pastor, Mary Grace
Pastor, Mary Grace is an individual health care provider with primary practice located at 4450 Highland Ave , Beaumont TX 77705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pastor, Mary Grace can be contacted via phone (409) 832-1924.Contact Information
Primary practice address
4450 Highland Ave
Beaumont TX 77705
Phone: (409) 832-1924
Fax: (713) 523-4897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K6214 | Texas |
Profile Details
| NPI number | 1518966647 |
|---|---|
| LBN Legal business name | Pastor, Mary Grace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Jan 18th, 2013 - about 11 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 | 1518966647 | NPPES |
| Texas | MEDICAID | 126826002 | |
| Texas | MEDICAID | 080462703 |
Popular Providers
-
Blahey, Maria Susan
755 N 11Th St Suite P-5200, Beaumont TX 77702-1501 -
Quraishi, Shama P.
2342 Dowlen Rd Ste 102 , Beaumont TX 77706-2537 -
Stout, Keith B
3480 College St , Beaumont TX 77701-4612 -
Davis, James Lewis
4471 Calder Ave , Beaumont TX 77706-6425 -
Wilgers, Kenneth D.
3129 College St Suite 200, Beaumont TX 77701-4660 -
Proctor, Jay C.
6450 Folsom Dr , Beaumont TX 77706-7269 -
Finley, Joseph M
810 Hospital Dr Ste 115, Beaumont TX 77701-4600 -
Indupalli, Suresh B
4180 Delaware St Suite 102, Beaumont TX 77706