Vengalil, Marina Tomy
Vengalil, Marina Tomy is an individual health care provider with primary practice located at 601 Clara Barton Blvd Ste 145 , Garland TX 75042-5755. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Vengalil, Marina Tomy can be contacted via phone (972) 560-9400.Contact Information
Primary practice address
601 Clara Barton Blvd Ste 145
Garland TX 75042-5755
Phone: (972) 560-9400
Fax: (972) 560-9401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | K9693 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K9693 | Texas |
Profile Details
| NPI number | 1396770947 |
|---|---|
| LBN Legal business name | Vengalil, Marina Tomy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jan 19th, 2024 - about 10 months 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 | 1396770947 | NPPES |
| Texas | MEDICAID | 143930903 |
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