Individual
RICHARD MARMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8042 WURZBACH RD, STE 260, SAN ANTONIO, TX 78229-3818
(210) 614-4711
(210) 614-4761
Mailing address
PO BOX 274, SAN ANTONIO, TX 78291-0274
(210) 614-4711
(210) 614-4761
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J4904
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133161307
—
TX
01
—
N19K
BCBS INDIV
—
Enumeration date
07/11/2006
Last updated
09/26/2008
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