Individual provider · NPI-1
Roy R Marrero Jr., MD
Emergency Medicine · Port Arthur, TX
NPI number1841249414
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1841249414
- Entity type
- Individual (NPI-1)
- Name
- Roy R Marrero Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 9, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | J9750 | TX | Yes |
Practice location
2555 Jimmy Johnson BlvdPort Arthur, TX 77640-2007
Phone 409-724-7389
Mailing address
Po Box 8730Fort Worth, TX 76124-0730
Phone 817-451-4208
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