Individual
MONTE MARRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP130018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8879UL
BCBS
TX
Enumeration date
01/15/2016
Last updated
02/08/2016
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