Mercado-Marmarosh, Diana Maria

Mercado-Marmarosh, Diana Maria is an sole proprietor health care provider with primary practice located at 1013A S Wells St , Edna TX 77957-4045. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mercado-Marmarosh, Diana Maria can be contacted via phone (361) 782-7820.

Contact Information

Primary practice address
1013A S Wells St Edna TX 77957-4045
Phone: (361) 782-7820
Fax: (361) 782-5627
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X BP10036757 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X P8390 Texas

Profile Details

NPI number 1619298643
LBN Legal business name Mercado-Marmarosh, Diana Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2010
Last updated Nov 5th, 2019 - about 5 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 1619298643 NPPES
Texas MEDICAID 332697703

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