Individual
MARION LADEWIG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OPAC
Contact information
Practice address
900 ROCKMEAD DR, HUMBLE, TX 77339-2115
(281) 359-5115
(281) 359-2663
Mailing address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 794-3338
(713) 794-3395
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0817
TX
Other
Enumeration date
12/20/2005
Last updated
07/08/2007
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