Provider Demographics
NPI:1508055609
Name:WAY, MARY C (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:C
Last Name:WAY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 750195
Mailing Address - Street 2:6211 BISHOP BLVD
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75275-0195
Mailing Address - Country:US
Mailing Address - Phone:214-768-2277
Mailing Address - Fax:214-768-2911
Practice Address - Street 1:6211 BISHOP BOULEVARD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205
Practice Address - Country:US
Practice Address - Phone:214-768-2277
Practice Address - Fax:214-768-2911
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
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Provider Licenses
StateLicense IDTaxonomies
TXH66932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry