Individual provider · Type 1 NPI

Mary Wisbon, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Houston, TX

NPI number 1770110124 Active

Practice location

6621 Fannin St
Houston, TX 77030-2358

Call (832) 824-1170 Map

Mailing address

1 Baylor Plz # BCM320
Houston, TX 77030-3411

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XU3382 (TX)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204XU3382 (TX)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1770110124

Mary Wisbon, MD's National Provider Identifier is 1770110124, issued on Mar 25, 2020. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Houston, TX. The record was last updated on Jul 2, 2026.