Individual
MR. NATHANAEL PETER MARSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12412 JUDSON RD, LIVE OAK, TX 78233-3272
(718) 283-6000
Mailing address
12474 STARCREST DR APT 1209, SAN ANTONIO, TX 78216-2966
(518) 369-9133
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
314356
NY
207P00000X
Emergency Medicine Physician
S3236
TX
Other
Enumeration date
04/07/2016
Last updated
03/15/2022
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