Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | R0202 | TX |
NPI | 1023214848 |
---|---|
Provider Name | Marlin W Causey |
First Address | San Antonio, TX 78234-4501 |
Second Address | San Antonio, TX 78234-4501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 29/11/2021 |