Individual
DIEGO ESTEBAN MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 S HULEN ST STE 400, FORT WORTH, TX 76109-1528
(817) 921-2838
Mailing address
5310 HARVEST HILL RD STE 290, DALLAS, TX 75230-5826
(214) 420-0650
(214) 736-0512
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
M5353
TX
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
M5353
TX
207NS0135X
Procedural Dermatology Physician
M5353
TX
Other
Enumeration date
12/29/2006
Last updated
10/13/2017
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