Brawner, Marlo

Brawner, Marlo is an individual health care provider with primary practice located at 400 Ogletree Dr , Livingston TX 77351-6783. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Brawner, Marlo can be contacted via phone (936) 328-8812.

Contact Information

Primary practice address
400 Ogletree Dr Livingston TX 77351-6783
Phone: (936) 328-8812
Fax: (936) 328-8815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X L6736 Texas

Profile Details

NPI number 1033218730
LBN Legal business name Brawner, Marlo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jun 19th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033218730 NPPES
Texas MEDICAID 159580303
Texas MEDICAID 169920909
Texas MEDICAID 169920908
Texas Other 21239
Texas Other 8P9491

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