Organization
MARBRIDGE FOUNDATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. P. DUNCAN MURRAY (ADMINISTRATOR)
(512) 282-1811
Entity
Organization
Contact information
Practice address
2504 BLISS SPILLAR RD, MANCHACA, TX 78652-4409
(512) 282-1000
(512) 381-2499
Mailing address
PO BOX 2250, MANCHACA, TX 78652-2250
(512) 282-1811
(512) 381-2499
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
9685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000519101
—
TX
05
—
022766201
—
TX
01
—
022766202
TPI MEDICARE PART B CROSS OVER
TX
Enumeration date
09/28/2006
Last updated
02/12/2018
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