MRS. MARY M WYATT (NPI# 1992889414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992889414 |
| Entity Type | Individual |
| Full Name | MRS. MARY M WYATT |
| Credential | GNP |
| Practice Address |
12121 Richmond Ave Suite#409 Houston TX 77082-2432 |
| Practice Telephone | 2814934922 |
| Practice Fax Number | 2814939728 |
| Mailing Telephone | 2814934922 |
| Mailing Fax Number | 2814939728 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
456399 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1663882 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164883609 | Mary Wyatt | Durable Medical Equipment & Medical Supplies | 327 Huntingdon Ave, Waterbury, CT 06708-1413 | 2016-03-11 |
| 1740539857 | Mary Lynn Wyatt | Technician, Other | 2040 Fitzhugh Street, Batesville, AR 72501 | 2012-09-05 |
| 1710252333 | Mary Ann Wyatt | Counselor | 119 N Benton St, Waynesville, MO 65583-2501 | 2012-03-14 |
| 1114294949 | Mary Alexander Wyatt | Specialist/Technologist | 600 S Mckinley St, Little Rock, AR 72205-5202 | 2011-11-22 |
| 1700184132 | Mary Wyatt | Social Worker | 404 Hunter St, Espanola, NM 87532-2655 | 2011-03-09 |
| Street Address |
12121 RICHMOND AVE SUITE#409 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77082-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566501 | Bao Quoc H La | Obstetrics & Gynecology | 12121 Richmond Ave, Ste 315, Houston, TX 77082-2437 | 2005-05-23 |
| 1831756105 | Colby Berger | Podiatrist | 12121 Richmond Ave, Houston, TX 77082-2432 | 2019-05-22 |
| 1730646951 | Marzyeh Izadnia | Nurse Practitioner | 12121 Richmond Ave, Houston, TX 77082-2432 | 2019-02-24 |
| 1295267144 | Bobby George | Physician Assistant | 12121 Richmond Ave, St. 307, Houston, TX 77082-2432 | 2017-03-30 |
| 1548710221 | Sunshine Dentistry | Dentist | 12121 Richmond Ave, Ste 426, Houston, TX 77082-2432 | 2016-10-06 |
| 1588010359 | Zachary Zan Stanfield | Podiatrist | 12121 Richmond Ave, Houston, TX 77082-2432 | 2016-05-10 |
| 1467846758 | Mary Rose Agustin | Nurse Practitioner | 12121 Richmond Ave, Houston, TX 77082-2432 | 2015-03-24 |
| 1104216852 | Fatima E Jaffer Md Pa | Internal Medicine | 12121 Richmond Ave, Suite 420, Houston, TX 77082-2432 | 2015-02-03 |
| 1124436712 | Elizabeth Bailey, Md, Pa | Obstetrics & Gynecology | 12121 Richmond Ave, Suite 416, Houston, TX 77082-2432 | 2014-07-27 |
| 1427479492 | Lei Chu Urology Pllc | Urology | 12121 Richmond Ave, Suite 221, Houston, TX 77082-2432 | 2013-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1083247571 | Long Tran | Pharmacist | 15842 Clayton Bend Dr, Houston, TX 77082 | 2020-02-13 |
| 1023599412 | Lori Friedman | Physical Therapy Assistant | 3625 Green Crest, Houston, TX 77082 | 2018-08-24 |
| 1548768187 | Ashford Pharmacy Inc. | Pharmacy | 3751 S Dairy Ashford Rd # 102, Houston, TX 77082 | 2018-01-29 |
| 1033625850 | Sarita E Smalley | Chiropractor | 11301 Richmond Ave., Suite K103, Houston, TX 77082 | 2017-12-15 |
| 1366972002 | Tangela Rene Woodland-ballard | Nurse Practitioner | 3751 S. Dairy Ashford Road, Houston, TX 77082 | 2017-06-15 |
| 1730623273 | Global Retel Investments Inc | Home Health | 4018 Green Crest Drive, 4018 Green Crest Drive, Houston, TX 77082 | 2016-12-16 |
| 1538532239 | Ramsome Medical Transportation | Secured Medical Transport (VAN) | 2703 Highway 6, 195, Houston, TX 77082 | 2015-11-04 |
| 1598141962 | Havilla Medical Transportation Services | Non-emergency Medical Transport (VAN) | 13433 Garden Grove, Houston, TX 77082 | 2015-08-07 |
| 1376895565 | Humera Yazdani | Dentist | 2703 South Hwy 6, Suite 147, Houston, TX 77082 | 2012-10-11 |
| Find all providers in zip 77082 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483690 | Amy Calder | Nurse Practitioner | 14441 Memorial Dr Ste 5, Houston, TX 77079-6708 | 2020-10-05 |
| 1992325906 | Emily Natosha Bennett | Nurse Practitioner | 4323 Dragonwick Dr, Houston, TX 77045-3311 | 2020-04-20 |
| 1770113011 | Daniel Toussaint | Nurse Practitioner | 12323 Valley Hills Dr, Houston, TX 77071-3018 | 2020-01-24 |
| 1841830445 | Advanced Practice House Calls LLC | Nurse Practitioner | 9000 Almeda Rd Apt 3201, Houston, TX 77054-4327 | 2020-01-10 |
| 1629614854 | Kenneth Emordi | Nurse Practitioner | 10103 Fondren Rd Ste 464, Houston, TX 77096-4677 | 2019-11-22 |
| 1184260572 | Ann Williams | Nurse Practitioner | 5 Greenway Plz, Houston, TX 77046-0526 | 2019-11-21 |
| 1427515444 | Jessica Renaudo | Nurse Practitioner | 15015 Coral Sands Dr, Houston, TX 77062-2918 | 2019-02-26 |
| 1265958110 | Misida Gwanyebit-fodje | Nurse Practitioner | 18220 Texas 249 Access Road, 230, Houston, TX 77070 | 2017-08-22 |
| 1538684253 | Saera Chung | Nurse Practitioner | 6560 Fannin St Ste 1002, Houston, TX 77030-2713 | 2017-08-03 |
| 1881060093 | Cyprine Manduku | Nurse Practitioner | 8723 Auburn Glen Ln, Houston, TX 77095-4699 | 2015-08-12 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on MRS. MARY M WYATT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.