Individual
MARVIN F FOJTASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15301 SPECTRUM DR STE 330, ADDISON, TX 75001-6462
(972) 661-2273
Mailing address
15301 SPECTRUM DR STE 330, ADDISON, TX 75001-6462
(972) 661-2273
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
F9429
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120475212
—
TX
01
—
F9429
STATE MEDICAL LICENSE NUMBER
TX
Enumeration date
05/23/2005
Last updated
07/26/2024
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