Nicolas, Marlo Magsanoc

Nicolas, Marlo Magsanoc is an individual health care provider with primary practice located at 4502 Medical Dr , San Antonio TX 78229-4402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Nicolas, Marlo Magsanoc can be contacted via phone (210) 567-4003.

Contact Information

Primary practice address
4502 Medical Dr San Antonio TX 78229-4402
Phone: (210) 567-4003
Fax: (210) 567-6729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X M1983 Texas
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X M1983 Texas

Profile Details

NPI number 1497724934
LBN Legal business name Nicolas, Marlo Magsanoc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Aug 5th, 2011 - about 13 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 1497724934 NPPES
Texas Other 176185004 CSHCN
Texas MEDICAID 176185003 CSHCN

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