Individual
MARVIN CRIDDLE CULBERTSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 W PARKER RD, PLANO, TX 75093-7939
(972) 981-8000
Mailing address
PO BOX 8549, FORT WORTH, TX 76124-0549
(817) 451-4208
(817) 563-3699
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
F9341
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083DB
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/16/2006
Last updated
02/05/2008
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