Individual provider · Type 1 NPI

Mary Walsh

Surgical Physician Assistant · Houston, TX

NPI number 1700619319 Active

Practice location

6720 Bertner Ave
Houston, TX 77030-2604

Mailing address

1518 Columbia St
Houston, TX 77008-4535

Other practice locations

  • 1462 Clifton Rd NE Ste 280, Atlanta, GA 30322-1063 · (404) 727-7825
  • 1977 Butler Blvd, Houston, TX 77030-4101 · (713) 798-5841

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA20085 (TX)
Surgical Physician Assistant Primary 363AS0400XPA20085 (TX)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1700619319

Mary Walsh's National Provider Identifier is 1700619319, issued on Aug 21, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on May 27, 2026.