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Individual

DR. MARCUS M PURVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2801 FRANCISCAN DR, BRYAN, TX 77802-2544
(979) 776-2568
Mailing address
4213 WARWICK LN, BRYAN, TX 77802-5659
(719) 671-9162

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
30775
CO
207P00000X
Emergency Medicine Physician
Primary
F4395
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138720116
TX
05
138720117
TX
01
138720118
CSHCN
TX
01
8K9566
BCBS
TX
01
8V7080
BCBS
TX
01
P00208108
RAILROAD MEDICARE
TX
Enumeration date
05/15/2006
Last updated
12/18/2013
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