Individual
MARC B. GELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1601 E SPRAGUE ST, EDINBURG, TX 78542-5260
(956) 378-9290
Mailing address
1601 E SPRAGUE ST, EDINBURG, TX 78542-5260
(956) 378-9290
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10648
TX
363AM0700X
Medical Physician Assistant
PA53648
CA
363AM0700X
Medical Physician Assistant
PA60664735
WA
Other
Enumeration date
05/24/2016
Last updated
12/04/2018
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