Weitz, Mary K.
Weitz, Mary K. is an sole proprietor health care provider with primary practice located at 4802 S 31St St Apt. # 911, Temple TX 76502-6208. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Weitz, Mary K. can be contacted via phone (254) 721-5338.Contact Information
Primary practice address
4802 S 31St St Apt. # 911
Temple TX 76502-6208
Phone: (254) 721-5338
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2763 | Texas |
Profile Details
| NPI number | 1740343078 |
|---|---|
| LBN Legal business name | Weitz, Mary K. |
| Credentials | M.S., L.P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Feb 25th, 2010 - about 14 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 | 1740343078 | NPPES |
| Texas | MEDICAID | 0955080 SFX 01-05 |
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