Individual provider · Type 1 NPI

Mary Pendleton, DO

Student in an Organized Health Care Education/Training Program · Lubbock, TX

NPI number 1700722246 Active

Practice location

602 Indiana Ave
Lubbock, TX 79415-3364

Call (806) 775-8200 Map

Mailing address

11752 W Tahiti St
Boise, ID 83713-5249

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700722246

Mary Pendleton, DO's National Provider Identifier is 1700722246, issued on Apr 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lubbock, TX. The record was last updated on Apr 27, 2026.