Marrott, Dwayne D

Marrott, Dwayne D is an individual health care provider with primary practice located at 10450 Brian Mooney Ave , El Paso TX 79935-2809. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Marrott, Dwayne D can be contacted via phone (915) 598-6616.

Contact Information

Primary practice address
10450 Brian Mooney Ave El Paso TX 79935-2809
Phone: (915) 598-6616
Fax: (915) 598-6651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 24316 Texas

Profile Details

NPI number 1730290065
LBN Legal business name Marrott, Dwayne D
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated May 26th, 2016 - about 8 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 1730290065 NPPES
Texas MEDICAID 034403801

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