Individual
DR. BOBBY WAYNE MAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 NORTH PARK ST, BRENHAM, TX 77833-2610
(979) 836-6153
Mailing address
600 NORTH PARK ST, BRENHAM, TX 77833-2610
(979) 836-6153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F4241
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036985202
—
TX
01
—
10026056
AMERIGROUP
TX
01
—
106820
SUPERIOR CHIPS
TX
01
—
4535347A
AETNA
TX
Enumeration date
05/23/2005
Last updated
04/27/2012
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