Landrum, Marilyn M

Landrum, Marilyn M is an individual health care provider with primary practice located at 5012 S Us Highway 75 Suite 300, Denison TX 75020-4587. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Landrum, Marilyn M can be contacted via phone (930) 416-6025.

Contact Information

Primary practice address
5012 S Us Highway 75 Suite 300 Denison TX 75020-4587
Phone: (930) 416-6025
Fax: (903) 416-6138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L0363 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L0363 Texas

Profile Details

NPI number 1285683987
LBN Legal business name Landrum, Marilyn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jan 26th, 2018 - about 7 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 1285683987 NPPES
Oklahoma MEDICAID 100229300A
Oklahoma MEDICAID 042108301

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