Individual
CHARLES THOMAS MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
961 WATER ST, SUITE B, KERRVILLE, TX 78028-3541
(830) 890-5800
Mailing address
961 WATER ST, SUITE B, KERRVILLE, TX 78028-3541
(830) 890-5800
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80435
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80435
STATE COMMITTEE OF EXAMINERS
TX
Enumeration date
05/14/2013
Last updated
05/14/2013
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