Individual
MARILYN R JANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2530 SCRIPTURE ST, DENTON, TX 76201-4317
(940) 898-1477
(940) 382-4091
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E8590
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U87Z
BCBSTX GRP PIN
TX
01
—
130105100
FIRSTCARE PIN
TX
05
—
133527502
—
TX
01
—
137751
PHCS PIN
TX
05
—
140442810
—
TX
01
—
1750369203
GRP NPI NUMBER
—
01
—
2944627
CIGNA PIN
TX
01
—
4074198
AETNA PIN
TX
01
—
45183
FIRSTHEALTH PIN
TX
01
—
748257
UHC PIN
TX
01
—
89660Y
BCBSTX IND PIN
TX
Enumeration date
10/25/2006
Last updated
11/20/2018
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