Provider Demographics
NPI:1659429546
Name:CARR-VALENTINE, MARY C (LSA)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:C
Last Name:CARR-VALENTINE
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Gender:F
Credentials:LSA
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Mailing Address - Street 1:PO BOX 3025
Mailing Address - Street 2:530
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77253-3025
Mailing Address - Country:US
Mailing Address - Phone:713-271-2384
Mailing Address - Fax:281-833-8950
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:1610
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-271-2384
Practice Address - Fax:281-833-8950
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2019-03-27
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant