Individual
MARVIS BELLAGWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
6029 BELT LINE RD STE 105, DALLAS, TX 75254-7873
(972) 385-0000
(972) 385-1231
Mailing address
6029 BELT LINE RD STE 105, DALLAS, TX 75254-7873
(972) 385-0000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP137691
TX
Other
Enumeration date
10/25/2019
Last updated
05/08/2021
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