Marathon Primary Care Services, Inc.

NPI 1194794230 - Clinic/Center - 261QR1300X

NPI Details
NPI 1194794230
Enumeration Date 03/14/2006
Last Updated 09/10/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JACK JACK
Position PRESIDENT
Phone (432) 386-4316
Fax (432) 386-4319
Practice Location
101 SOUTH FIRST
MARATHON TX, 79842, US
Phone (432) 386-4316
Fax (432) 386-4319
Business Location
PO BOX 846339
DALLAS TX, 75284-6339, US
Phone
Fax
Toxanomy
Taxonomy Code 261QR1300X
License State Texas
License Number 45D0942160
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According to our database, Marathon Primary Care Services, Inc. NPI is 1194794230, taxonomy code is 261QR1300X and license number is 45D0942160, license state is located at Texas. Marathon Primary Care Services, Inc. physically located at 101 South First, Marathon TX, 79842. NPI Number 1033115704 has the healthcare provider type.

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1194794230 NPI number is provided on an as is basis without warranty of any kind. 1194794230 is maintained by the National Plan & Provider Enumeration System. The contents of Marathon Primary Care Services, Inc. are for informational purposes only.