Mary R Maynor, RNC-LRN, IBCLC is a
Registered Nurse based in Windcrest, Texas. Mary R Maynor is licensed to practice in Texas (license number 737276) and her current practice location is
709 Golfcrest Dr, Windcrest, Texas. She can be reached at her office (for appointments etc.) via phone at
(210) 650-5510.
NPI number for Mary R Maynor is 1316297153 and her current mailing address is 709 Golfcrest Drive, San Antonio, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316297153.
Provider's Profile
Full Name | Mary R Maynor |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 709 Golfcrest Dr, Windcrest, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316297153
- Provider Enumeration Date: 09/19/2012
- Last Update Date: 09/19/2012
Medical Identifiers
Medical identifiers for Mary R Maynor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316297153 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 737276 (Texas) | Primary |
163WL0100X | Registered Nurse - Lactation Consultant | IBCLC # 11117120 (Texas) | Secondary |
163WN0003X | Registered Nurse - Neonatal, Low-risk | C-LRN #VSHA4A4004B (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary R Maynor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary R Maynor, RNC-LRN, IBCLC 709 Golfcrest Drive, San Antonio, TX 78239-2623 Ph: (210) 650-5510 | Mary R Maynor, RNC-LRN, IBCLC 709 Golfcrest Dr, Windcrest, TX 78239-2623 Ph: (210) 650-5510 |
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