Individual
DR. JOHN R. MARCHBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3502 9TH ST, SUITE 410, LUBBOCK, TX 79415-3300
(806) 743-4115
(806) 743-1313
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
E4503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11705302
—
NM
05
—
20036130A
—
OK
01
—
8P2610
HMO BLUE
TX
01
—
8P2630
BC/BS
TX
01
—
I002
TRIWEST
NM
Enumeration date
12/05/2005
Last updated
07/09/2007
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