Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | Q4194 | TX |
NPI | 1083969299 |
---|---|
Provider Name | Dr. Caroline Marrs |
First Address | Dallas, TX 75230-2571 |
Second Address | Dallas, TX 75230 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2012 |
Last Update Date | 31/08/2018 |