Mary Mckenzie is a Family in Longview, Texas. Mary Mckenzie practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Mckenzie is 1013012509. The last update date is 2012-09-10.
Mary Mckenzie's current location address is 2021 W Loop 281, Longview, Texas. You can contact this provider via phone number 9032951396. The mailing address for Mary Mckenzie is 2021 W Loop 281, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Mckenzie |
|---|---|
| Address | 2021 W Loop 281, Longview, Texas |
| Phone Number | 9032951396 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP-BC |
NPI Number Detail
| NPI Number | 1013012509 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2012-09-10 |
Provider Mailing Address Detail
| Address | 2021 W Loop 281 |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756042504 |
| Phone Number | 9032951396 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 556727 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8N3057 | TX | BLUE CROSS BLUE SHIELD | |
| 127102509 | TX | -- |
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What is the unique identifier code issued to Mary Mckenzie by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Mckenzie has been assigned the NPI (National Provider Identifier) 1013012509. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Mary Mckenzie's facilities are situated?
The facilities of Mary Mckenzie are physically located at the following address: 2021 W Loop 281, Longview, TX, 756042504.
What is Mary Mckenzie's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Mckenzie is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did Mary Mckenzie receive its 1013012509 assignment from the Centers for Medicare & Medicaid Services?
The Mary Mckenzie was assigned its 1013012509 on 2006-09-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mary Mckenzie's details last updated?
The information pertaining to the Mary Mckenzie, including its address, specialty, and other details, was most recently updated on 2012-09-10.