Organization
MARBLE ROSE ENTERPRISES LLC
Active
Parent organization
MARBLE ROSE ENTERPRISES LLC
Other names
Marble Rose Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARBLE ROSE ENTERPRISES LLC
Authorized official
ADETO AKOMOLAFE (MANAGING MEMBER)
(915) 479-1254
Entity
Organization
Contact information
Practice address
11351A JAMES WATT DR STE B, EL PASO, TX 79936-6408
(915) 479-1254
Mailing address
1505 GEORGE DIETER DR STE 109502, EL PASO, TX 79936-7660
(915) 479-1254
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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