| Dr. Mary Diane Way | |
|
1811 Burr Oak Ln Adkins TX 78101-2606 | |
| (210) 364-2430 | |
| Not Available |
| Full Name | Dr. Mary Diane Way |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1811 Burr Oak Ln, Adkins, Texas |
| Authorized Official Name and Position | Barbara A Maccallum-schmidt (OFFICE MANAGER) |
| Authorized Official Contact | 2106230140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mary Diane Way 1811 Burr Oak Ln Adkins TX 78101-2606 Ph: (210) 364-2430 | Dr. Mary Diane Way 1811 Burr Oak Ln Adkins TX 78101-2606 Ph: (210) 364-2430 |
| NPI Number | 1346848223 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 10/13/2020 |
| Certification Date | 10/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346848223 | NPI | - | NPPES |
| 1508857608 | Other | TX | BILLING FOR DR. WAY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |