Provider Demographics
NPI:1053464610
Name:STARLING, MARY J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:J
Last Name:STARLING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1128
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75653
Mailing Address - Country:US
Mailing Address - Phone:903-655-0936
Mailing Address - Fax:903-655-1653
Practice Address - Street 1:1600 US HIGHWAY 79 S
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TX
Practice Address - Zip Code:75654-4508
Practice Address - Country:US
Practice Address - Phone:903-717-3260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0277207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1264905-01Medicaid
TX1264905-02Medicaid
TX1264905-05Medicaid
TX1264905-04Medicaid
TX87M430OtherBLUE CROSS
TX1264905-03Medicaid
TX1264905-03Medicaid
TXF52933Medicare UPIN