| Mary F. Hewitt, M.d., P.a. | |
|
2610 N Alexander Dr Suite 201 Baytown TX 77520-3368 | |
| (281) 427-6363 | |
| (281) 420-6867 |
| Full Name | Mary F. Hewitt, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 2610 N Alexander Dr, Baytown, Texas |
| Authorized Official Name and Position | Mary Faye Hewitt (OWNER) |
| Authorized Official Contact | 2814276363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary F. Hewitt, M.d., P.a. Po Box 2115 Baytown TX 77522-2115 Ph: (281) 427-6363 | Mary F. Hewitt, M.d., P.a. 2610 N Alexander Dr Suite 201 Baytown TX 77520-3368 Ph: (281) 427-6363 |
| NPI Number | 1194970152 |
|---|---|
| Provider Enumeration Date | 11/18/2008 |
| Last Update Date | 02/04/2009 |
| Medicare PECOS PAC ID | 7810058831 |
|---|---|
| Medicare Enrollment ID | O20081210000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194970152 | NPI | - | NPPES |
| 092503401 | Medicaid | TX | |
| 0047EN | Other | TX | BLUE CROSS & BLUE SHIELD |
| 8F9488 | Other | TX | INDIVIDUAL NPI/DR.MARY FAYE HEWITT M.D. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K5553 (Texas) | Primary |
| Provider Name | Mary F Hewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043303068 PECOS PAC ID: 0143381178 Enrollment ID: I20081209000183 |
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