Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Courtenay Hamblen, DO

Individual provider Emergency Medicine Physician · NPI 1760069405

Mary Courtenay Hamblen, DO is an Emergency Medicine in Fort Worth, Texas. Qualified in 2021, 5 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina and Texas.

Years since qualifying
5
Licensed in
NC, TX
In the registry since
2021
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1500 S Main St
Fort Worth, TX 76104-4917
Phone: (817) 702-2799
Fax: (817) 702-2140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 601 N Elm St, High Point, NC 27262-4331 — (336) 878-6000
  • 1370 W D St, North Wilkesboro, NC 28659-3506 — (336) 651-8100
  • 600 Elizabeth St 9b/Gme, Corpus Christi, TX 78404 — (361) 861-1864

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence U5708 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2024-01212 (NC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence U5708 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760069405
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2021
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address200 W Magnolia Ave Ste 201, Fort Worth, TX 76104-7657

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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