Individual
KRISTY M. MARSILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
LA COSTA CENTRE 6300 LA CALMA DRIVE, SUITE 200, AUSTIN, TX 78752-3825
(512) 452-8533
Mailing address
1047 SUNFLOWER TRL, AUSTIN, TX 78745-2783
(716) 465-2533
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
58002101
OH
207P00000X
Emergency Medicine Physician
Primary
N3868
TX
Other
Enumeration date
04/20/2007
Last updated
09/18/2013
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