Pennington, Marvin Dean

Pennington, Marvin Dean is an individual health care provider with primary practice located at 3414 Golden Rd , Tyler TX 75701-8336. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Pennington, Marvin Dean can be contacted via phone (903) 939-7500.

Contact Information

Primary practice address
3414 Golden Rd Tyler TX 75701-8336
Phone: (903) 939-7500
Fax: (800) 248-0426
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1972534683
LBN Legal business name Pennington, Marvin Dean
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated May 19th, 2024 - about last year

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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