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MARY PENDLETON DO
NPI 1700722246
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Active since April 27, 2026
602 INDIANA AVE, LUBBOCK, TX 79415(806) 775-8200 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Pendleton Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY PENDLETON DO (NPI 1700722246) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1700722246
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARY PENDLETONCredential: DO
Location Address602 INDIANA AVELubbock, TX 79415-3364
Mailing Address11752 W Tahiti StBoise, ID 83713-5249 · (801) 360-9683
Phone(806) 775-8200
Sole ProprietorNo
Enumeration DateApril 27, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1700722246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
602 INDIANA AVE, Lubbock, TX 79415
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEERAPONG LILITWAT MD
Pediatrics (Pediatric Critical Care Medicine)
602 INDIANA AVE
LUBBOCK, TX 79415
Lubbock County (806) 775-8813
TABITHA ANKERS MD
Surgery (Surgical Critical Care)
602 INDIANA AVE
LUBBOCK, TX 79415
Lubbock County (806) 743-2373
DR. BENJAMIN MORRIS MERRILL MD
Family Medicine
602 INDIANA AVE
LUBBOCK, TX 79415
Lubbock County (806) 743-9098
CASSIDY DIEDE AA
Anesthesiologist Assistant
602 INDIANA AVE
LUBBOCK, TX 79415
Lubbock County (806) 743-2891
MELISSA S PIEPKORN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
602 INDIANA AVE
LUBBOCK, TX 79415
Lubbock County (806) 775-8808
TALLES BARROSO PINTO DE CAMPOS SIDRONIO MD
Anesthesiology
602 INDIANA AVE
LUBBOCK, TX 79415
Lubbock County (806) 743-2891
LILLIAN AMEZQUITA
Emergency Medicine
602 INDIANA AVE
LUBBOCK, TX 79415
Lubbock County (806) 775-8200
MRS. SUSAN N BROWN FNP-C
Nurse Practitioner
602 INDIANA AVE
LUBBOCK, TX 79415
Lubbock County (806) 775-9700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Pendleton's NPI number?

The NPI number for Mary Pendleton is 1700722246. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Mary Pendleton located?

Mary Pendleton practices at 602 Indiana Ave, Lubbock, TX 79415. The listed phone number is (806) 775-8200.

What is Mary Pendleton's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mary Pendleton was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.