Provider Demographics
NPI:1912904061
Name:LYNCH, MARY FRANCES ABRAHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:FRANCES ABRAHAM
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4109 GALT AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-4708
Mailing Address - Country:US
Mailing Address - Phone:817-924-5060
Mailing Address - Fax:817-924-5060
Practice Address - Street 1:1301 PENNSYLVANIA AVE
Practice Address - Street 2:NEONATOLOGY OFFICES, PEDIATRIX MEDICAL GROUP OF TEXAS
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2122
Practice Address - Country:US
Practice Address - Phone:817-250-2892
Practice Address - Fax:817-250-5335
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL40492080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH60221Medicare UPIN
TX8075B6Medicare ID - Type Unspecified