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NPI Code Detail

MEDICARE: MARY JANE FRENCH

MEDICARE: MARY JANE FRENCH
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
1367500000XCertified Registered Nurse Anesthetist560799TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00001008OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
182945UOTHERTXBLUE CROSS BLUE SHIELD
3031405OTHERTXRECERTIFICATION ARNA

General Provider Information

NPI Number : 1316932767
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY JANE FRENCH
Provider Business Mailing Address
First Line : PO BOX 4346
Second Line : DEPT 693
City : HOUSTON
State : TX
Zip : 77210-4346
Country : US
Telephone Number : 281-358-8114
Fax Number : 281-358-0609
Provider Business Practice Location Address
First Line : 6801 EMMETT F LOWRY EXPY
Second Line :
City : TEXAS CITY
State : TX
Zip : 77591-2500
Country : US
Telephone Number : 409-938-5361
Fax Number : 409-938-5765
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 07/08/2007

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