Doctor Name: | MS. MARY REBECCA MONAGHAN |
NPI Number: | 1003148735 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 596032 |
Business Practice Address: | 25440 Interstate 45 N Suite 300 The Woodlands, TX - 773861343 |
Business Phone Number: | 2814191599 |
Business Fax Number: | 2814195885 |
Mailing Address: | 25440 Interstate 45 N, Suite 300 THE WOODLANDS |
State: | TX |
Postal Code: | 773861343 |
Phone Number: | 2814191599 |
Fax Number: | 2814195885 |
NPI Enumeration Date: | 02/05/2010 |
NPI Last Update Date: | 10/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 596032 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |