Individual
MARVIN DEAN PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3414 GOLDEN RD, TYLER, TX 75701-8336
(903) 939-7500
(800) 248-0426
Mailing address
3414 GOLDEN RD, TYLER, TX 75701-8336
(903) 939-7500
(800) 248-0426
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
05/19/2024
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