Individual
MARVA J TILLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
923 PENNSYLVANIA AVE STE 100, FORT WORTH, TX 76104-2254
(817) 920-0484
(817) 920-0086
Mailing address
923 PENNSYLVANIA AVE STE 100, FORT WORTH, TX 76104-2254
(817) 920-0484
(817) 920-0068
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1216312
TX
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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