Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
N | 175F00000X | Naturopath | ||
N | 175L00000X | Homeopath |
NPI | 1699041350 |
---|---|
Provider Name | Dr. John Marruffo |
First Address | Dallas, TX 75234-4778 |
Second Address | Dallas, TX 75234-4778 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2012 |
Last Update Date | 16/02/2016 |