MEDICARE: DR. MARY CATHERINE CURRY M.D.

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
1	174400000X	Specialist
2	207N00000X	Dermatology Physician	80-26	NM

General Provider Information

NPI Number	:	1720051535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY CATHERINE CURRY M.D.

Provider Business Mailing Address
First Line	:	7300 RANCH ROAD 2222, BLDG 1, STE 200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78730-3255
Country	:	US
Telephone Number	:	512-628-0465
Fax Number	:	512-233-2711

Provider Business Practice Location Address
First Line	:	5512 E MAIN ST STE A
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87402-4421
Country	:	US
Telephone Number	:	505-787-2515
Fax Number	:	505-787-2563

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	02/15/2023

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