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NPI Code Detail

MEDICARE: MARILYN DAMARYS PIMENTEL ROMAN

MEDICARE: MARILYN DAMARYS PIMENTEL ROMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist80930TX
2231H00000XAudiologist579PR

General Provider Information

NPI Number : 1356431613
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN DAMARYS PIMENTEL ROMAN
Provider Business Mailing Address
First Line : 5959 S STAPLES ST STE 205
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78413-3844
Country : US
Telephone Number : 361-854-2500
Fax Number :
Provider Business Practice Location Address
First Line : 5959 S STAPLES ST STE 205
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78413-3844
Country : US
Telephone Number : 361-854-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2006
Last Update Date : 03/03/2026

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Directions to “ MARILYN DAMARYS PIMENTEL ROMAN ” Practice Location

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