GUSTAVO MARIN M.D.P.A. NPI 1396804514

NPI Information

GUSTAVO MARIN M.D.P.A. is a family medicine in Plano, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GUSTAVO MARIN M.D.P.A. NPI is 1396804514. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As East Plano Family Clinic.

The provider's business location address is:

2380 E PARK BLVD
SUITE 300
PLANO, TX
ZIP 75074-151
Phone: (972) 633-8747
Fax: (972) 633-8356

The provider's authorized official is Nohora Marin .
The authorized official title is Office Manager and has the following contact phone number (972) 633-8747.

The CLIA number assigned to this NPI record is 45D1045354 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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