Individual
DR. GARY JOHN MARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J4326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C527010
BLUE SHIELD
CA
05
—
100140630A
—
OK
05
—
104828061
—
TX
05
—
104828205
—
TX
05
—
1831116474
—
CA
01
—
1942504501
BLUE CROSS
CA
01
—
8CQ741
BCBS
TX
01
—
8EH577
BCBS TX
TX
01
—
P00923418
RAILROAD
TX
Enumeration date
06/16/2006
Last updated
01/05/2022
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