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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730290065 | NPPES |
| Texas | MEDICAID | 034403801 |
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