Individual
MARVIN EARL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-5300
(214) 645-5196
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-5300
(214) 645-5196
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA09271
TX
363AM0700X
Medical Physician Assistant
PA17863
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1064319
NCCPA CERT #
CA
Enumeration date
11/21/2005
Last updated
03/07/2023
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