King, Marvin Earl
King, Marvin Earl is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. King, Marvin Earl can be contacted via phone (214) 645-5300.Contact Information
Primary practice address
5323 Harry Hines Blvd
Dallas TX 75390-7208
Phone: (214) 645-5300
Fax: (214) 645-5196
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA17863 | California |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA09271 | Texas |
Profile Details
NPI number | 1306829726 |
---|---|
LBN Legal business name | King, Marvin Earl |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 21st, 2005 |
Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306829726 | NPPES |
California | Other | 1064319 | NCCPA CERT # |
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