Individual
MARIAN AYENSU
Inactive
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2423 WILLIAMS DR STE 103, GEORGETOWN, TX 78628-3200
(877) 800-5722
Mailing address
2423 WILLIAMS DR STE 107, GEORGETOWN, TX 78628-3269
(877) 800-5722
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
U8946
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/02/2021
Last updated
06/27/2025
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