Petro, Marilyn Martin

Petro, Marilyn Martin is an individual health care provider with primary practice located at 1141 Keller Pkwy Suite A, Keller TX 76248-1627. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Petro, Marilyn Martin can be contacted via phone (817) 741-2601.

Contact Information

Primary practice address
1141 Keller Pkwy Suite A Keller TX 76248-1627
Phone: (817) 741-2601
Fax: (817) 745-2601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 685722 Texas

Profile Details

NPI number 1336464783
LBN Legal business name Petro, Marilyn Martin
Credentials WHNP-RX AUTH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2010
Last updated Mar 29th, 2010 - about 14 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 1336464783 NPPES
Texas Other 1578768701 GROUP NPI

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