Individual
DR. MARVIN CHARLES SCHLECTE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 AMBASSADOR DR, WACO, TX 76712-9702
(254) 756-4457
(254) 756-1718
Mailing address
2400 AMBASSADOR DR, WACO, TX 76712-9702
(254) 756-4457
(254) 756-1718
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M6380
TX
207W00000X
Ophthalmology Physician
Primary
M6380
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00876R
GROUP MEDICARE NUMBER
TX
05
—
161488501
—
TX
Enumeration date
04/23/2007
Last updated
06/13/2024
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