MARY J CORDER


Address: 9757 Pine Lake Dr, Apt 1093, Houston, TX 77055-6149
Phone: 7134281466

MARY J CORDER (NPI# 1073903589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073903589
Entity Type Individual
Full Name MARY J CORDER
Practice Address 9757 Pine Lake Dr
Apt 1093
Houston
TX 77055-6149
Practice Telephone 7134281466
Mailing Telephone 7134281466
Enumeration Date 2015-02-04
Last Update Date 2015-05-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 801188 TX Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP127489 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARY CORDER

NPI Name Taxonomy Address Enumeration
1568676807 Mary Anne Corder Nurse Practitioner 2940 N Mccord Rd, Toledo, OH 43615-1753 2007-05-09

Office Location

Street Address 9757 PINE LAKE DR
APT 1093
City HOUSTON
State TX
Zip Code 77055-6149

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1679097737 Susan Degner Social Worker 1500 N. Post Oak Rd. Suite 150, Houston, TX 77055 2017-07-31
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1851908610 Iyobo Elegon Nurse Practitioner 8511 Dawnridge Dr, Houston, TX 77071-2441 2020-09-25
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Competitor

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City HOUSTON
Zip Code 77055

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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