Individual
DR. ARIE MARANCENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7501 LAKEVIEW PKWY, SUITE 240, ROWLETT, TX 75088-9322
(972) 526-7600
Mailing address
7501 LAKEVIEW PKWY, SUITE 240, ROWLETT, TX 75088-9322
(469) 417-8550
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
P0633
TX
207Q00000X
Family Medicine Physician
5496820
WI
207Q00000X
Family Medicine Physician
Primary
P0633
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284470601
—
TX
Enumeration date
05/23/2008
Last updated
01/05/2023
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