Organization
ROBERT MARRIOTT MEDICAL CORP
Active
Parent organization
ADVANTAGE WOUND CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANTAGE WOUND CARE
Authorized official
ROBERT J MARRIOTT MD (CEO)
(877) 878-3289
Entity
Organization
Contact information
Practice address
1175 DENTON ST, BEAUMONT, TX 77707-3913
(877) 878-3289
(877) 817-3227
Mailing address
222 N PACIFIC COAST HWY STE 2175, EL SEGUNDO, CA 90245-5639
(877) 878-3289
(877) 817-3227
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3320855-01
—
TX
Enumeration date
10/18/2016
Last updated
11/08/2018
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