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:
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Health care specialties

SpecialtyCodeLicense #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 3 years 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 1306829726 NPPES
California Other 1064319 NCCPA CERT #

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