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1043303068 NPI number — MARY FAYE HEWITT M.D.

NPI Number: 1043303068
Health Care Provider/Practitioner: MARY FAYE HEWITT M.D.

Information about “1043303068” NPI (MARY FAYE HEWITT M.D.) exists in 1043303068 in HTML format HTML  |  1043303068 in plain Text format TXT  |  1043303068 in PDF (Portable Document Format) PDF  |  1043303068 in an XML format XML  formats.

NPI Number : 1043303068 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043303068",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HEWITT",
    "FirstName": "MARY",
    "MiddleName": "FAYE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HEWITT-LEVY (MARRIED)",
    "OtherFirstName": "MARY",
    "OtherMiddleName": "F",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "P.O. BOX 2115",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BAYTOWN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77522-2115",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-427-6363",
    "MailingAddressFaxNumber": "281-420-6867",
    "FirstLinePracticeLocationAddress": "620 MASSEY TOMPKINS RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BAYTOWN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77521-4312",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-427-6363",
    "PracticeLocationAddressFaxNumber": "281-838-8393",
    "EnumerationDate": "10/02/2006",
    "LastUpdateDate": "02/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "K5553",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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