Mary Kathryn Eagleton
M.D. | Pediatrics | Female
Mary Kathryn Eagleton, M.D. is a Tyler, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mary Kathryn Eagleton is
8288 S Broadway Ave, Tyler, Texas - 75703-5262. She can be contacted on phone at
903-606-7060.
Mary Kathryn Eagleton is a sole proprietor of her business.
NPI number (Unique professional ID) for Mary Kathryn Eagleton is
1669765350 which was assigned by NPPES on 27 May, 2011 and it was last updated on 17 Mar, 2018.
Mary Kathryn Eagleton license number is
BP1-0039531 for Pediatrics (208000000X) in Texas.
Mary Kathryn Eagleton is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mary Kathryn Eagleton basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mary Kathryn Eagleton |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Mary Kathryn Eagleton address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8288 S Broadway Ave
Tyler, TX, 75703-5262
United States |
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| Phone Number : | 903-606-7060 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669765350 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 May, 2011 |
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| Last Updated On : | 17 Mar, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Kathryn Eagleton are as mentioned. Primary taxonomy code for Mary Kathryn Eagleton, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | BP1-0039531 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Mary Kathryn Eagleton such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8HE842 | Other | TX | BCBS |
| 376763401 | MEDICAID | TX | |
| P01912556 | Other | TX | MEDICARE RAIL ROAD |
| 75-2616977-118 | Other | TX | TRICARE |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1912 W. 35TH ST, CHILDREN'S MEDICAL GROUP
AUSTIN, TX, 78703
United States | AUSTIN, TX | 512-451-5161 |
1912 W. 35TH ST, CHILDREN'S MEDICAL GROUP
AUSTIN, TX, 78703
United States | AUSTIN, TX | 512-451-5161 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 846098
Dallas, TX, 75284-6098
United States |
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| Phone Number : | 903-324-6400 |
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Business Location:
Patients can refer following map for directions to
Mary Kathryn Eagleton practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.