Buyse, Marylou

Buyse, Marylou is an individual health care provider with primary practice located at 7700 Fish Pond Rd , Waco TX 76710-1031. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Buyse, Marylou can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
7700 Fish Pond Rd Waco TX 76710-1031
Phone: (254) 724-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 38004 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N8620 Texas
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X N8620 Texas

Profile Details

NPI number 1386625135
LBN Legal business name Buyse, Marylou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Dec 5th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386625135 NPPES
Massachusetts MEDICAID 2035367

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