Individual
MARILYN GUSSITA EARLY GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
8220 WALNUT HILL LANE, PROF BLDG 2, SUITE 700, DALLAS, TX 75231-4400
(214) 739-4175
(214) 987-4161
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
600829
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315244901
—
TX
Enumeration date
02/12/2013
Last updated
08/15/2014
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