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 |
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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 |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1487835617 PECOS PAC ID: 7113070137 Enrollment ID: I20090807000536 |
Provider Name | Theodore J Felton |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477886018 PECOS PAC ID: 0143367979 Enrollment ID: I20091027000325 |
Provider Name | Pamela C Carter |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1942569421 PECOS PAC ID: 6709029390 Enrollment ID: I20160622002413 |
Provider Name | Brandon Fullerton Harris |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1205252152 PECOS PAC ID: 8325438401 Enrollment ID: I20211203001044 |
Provider Name | Matthew S Chorost |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1316301583 PECOS PAC ID: 4688056609 Enrollment ID: I20220808000093 |
Provider Name | Joseph A Santamaria |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1164882692 PECOS PAC ID: 3375914203 Enrollment ID: I20230131003312 |
Mailing Address | Practice Location Address |
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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 |