Individual
JAMES EBBERT MARVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 PARKER ST, STE 400, QUITMAN, TX 75783-2102
(903) 763-6144
(903) 763-6146
Mailing address
PO BOX 9477, TYLER, TX 75711-9477
(903) 594-2450
(903) 509-0493
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J0996
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103185804
—
TX
01
—
200044978
MEDICARE RR
—
Enumeration date
06/30/2006
Last updated
01/08/2009
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