Provider Demographics
NPI:1275769754
Name:ASHMEAD, MARY GAJEWSKI (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:GAJEWSKI
Last Name:ASHMEAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5220 W UNIVERSITY DR STE 150
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7418
Mailing Address - Country:US
Mailing Address - Phone:972-984-1050
Mailing Address - Fax:
Practice Address - Street 1:300 S NOLEN DR STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-8057
Practice Address - Country:US
Practice Address - Phone:817-989-2400
Practice Address - Fax:817-549-8463
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS20090067207Y00000X
TXQ3637207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology