| Mary Kelly Green Md Pllc | |
|
204 Gateway N, Suite A, Marble Falls, TX 78654-6361 | |
| (830) 698-5868 | |
| (830) 798-8017 |
| Full Name | Mary Kelly Green Md Pllc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 204 Gateway N, Marble Falls, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689947509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Texas) | Secondary |
| 207W00000X | Ophthalmology | (Texas) | Primary |
| Provider Name | Mary K Green |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487835617 PECOS PAC ID: 7113070137 Enrollment ID: I20090807000536 |
| Provider Name | Theodore J Felton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477886018 PECOS PAC ID: 0143367979 Enrollment ID: I20091027000325 |
| Provider Name | Pamela C Carter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942569421 PECOS PAC ID: 6709029390 Enrollment ID: I20160622002413 |
| Provider Name | Brandon Fullerton Harris |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205252152 PECOS PAC ID: 8325438401 Enrollment ID: I20211203001044 |
| Provider Name | Joseph A Santamaria |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164882692 PECOS PAC ID: 3375914203 Enrollment ID: I20230131003312 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Kelly Green Md Pllc 204 Gateway N, Suite A, Marble Falls, TX 78654-6361 Ph: (830) 698-5868 | Mary Kelly Green Md Pllc 204 Gateway N, Suite A, Marble Falls, TX 78654-6361 Ph: (830) 698-5868 |