Provider Demographics
NPI:1770917312
Name:LINGWALL, MARY CATHERINE
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:CATHERINE
Last Name:LINGWALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1404 MICHIGAN ST
Mailing Address - Street 2:#GA
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-1824
Mailing Address - Country:US
Mailing Address - Phone:214-803-2495
Mailing Address - Fax:
Practice Address - Street 1:2222 MARONEAL ST
Practice Address - Street 2:UNIT 1737
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3242
Practice Address - Country:US
Practice Address - Phone:855-455-2229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-31
Last Update Date:2013-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula