Individual
DR. MARILYN MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.B.A.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0531
(409) 747-7359
(409) 747-7378
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0531
(409) 747-7359
(409) 747-7378
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G6212
TX
2086S0127X
Trauma Surgery Physician
G6212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138479406
—
TX
01
—
P00775545
RAILROAD MEDICARE
TX
Enumeration date
09/22/2006
Last updated
02/21/2014
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