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NPI Code Detail

MEDICARE: MARY KATHERINE SHOEMAKER MD

MEDICARE: MARY KATHERINE SHOEMAKER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician71084MN
2207R00000XInternal Medicine PhysicianW0729TX
3208000000XPediatrics PhysicianW0729TX
4208000000XPediatrics Physician71084MN

General Provider Information

NPI Number : 1821652900
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY KATHERINE SHOEMAKER MD
Provider Business Mailing Address
First Line : 915 GESSNER RD STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2537
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 915 GESSNER RD STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77024-2537
Country : US
Telephone Number : 713-242-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2019
Last Update Date : 10/28/2025

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