National Provider Identifier Database

GARY R MENNIE MD
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

GARY R. MENNIE, M.D.
2770 AERO DRIVE
SUITE 1
PORT ARTHUR, TX77640
Phone: 409-727-4642
Fax: 409-721-9774
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for GARY R. MENNIE, M.D.

NPI Number 1457441503
Legal business name
LBN
GARY R. MENNIE, M.D.
Authorized official GARY MENNIE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/12/2006
Last updated 05/22/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: K9128

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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