Kathleen Jo Marcum PA-C

NPI 1154496974 - Physician Assistant - 363A00000X

NPI Details
NPI 1154496974
Gender Female
Enumeration Date 11/21/2006
Last Updated 08/03/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3801 21ST ST
LUBBOCK TX, 79410-1006, US
Phone (806) 687-0338
Fax (806) 687-4326
Business Location
3420 22ND PL
LUBBOCK TX, 79410-1314, US
Phone (806) 725-5844
Fax (806) 723-6532
Taxonomy Code 363A00000X
License State Texas
License Number PA04625
Remove 1154496974 NPI Number

According to our database, Mrs. Kathleen Jo Marcum PA-C NPI is 1154496974, taxonomy code is 363A00000X and license number is PA04625, license state is located at Texas. Kathleen Jo Marcum PA-C physically located at 3801 21st St, Lubbock TX, 79410-1006. NPI Number Kathleen Jo Marcum PA-C has the Individual type.

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1154496974 NPI number is provided on an as is basis without warranty of any kind. 1154496974 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Jo Marcum PA-C are for informational purposes only.