Individual provider · Type 1 NPI
Mary J. Corder
Family Nurse Practitioner · Houston, TX
NPI number
1073903589
Active
Practice location
5656 Kelley St
Houston, TX 77026-1967
Mailing address
9757 Pine Lake Dr, Apt 1093
Houston, TX 77055-6149
Other practice locations
- 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 · (252) 535-8011
- 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 · (337) 494-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 801188 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | AP127489 (TX) |
| Nurse Practitioner | 363L00000X | 11000975 (FL) |
| Family Nurse Practitioner | 363LF0000X | 5024990 (NC) |
| Nurse Practitioner | 363L00000X | 229677 (LA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1073903589
Mary J. Corder's National Provider Identifier is 1073903589, issued on Feb 4, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Houston, TX. The record was last updated on Oct 26, 2026.