Individual
ROBERTO MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 551-6764
Mailing address
PO BOX 340376, FORT SAM HOUSTON, TX 78234-0376
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1035377
GA
Other
Enumeration date
02/20/2007
Last updated
09/08/2020
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