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NPI Code Detail

MEDICARE: DR. MARIANNE J PINKSTON M.D.

MEDICARE:  DR. MARIANNE J PINKSTON  M.D.
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
1207Q00000XFamily Medicine PhysicianK9871TX

General Provider Information

NPI Number : 1699756387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIANNE J PINKSTON M.D.
Provider Business Mailing Address
First Line : PO BOX 29425
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-0425
Country : US
Telephone Number : 210-615-0533
Fax Number : 210-615-0585
Provider Business Practice Location Address
First Line : 4499 MEDICAL DR
Second Line : STE 170
City : SAN ANTONIO
State : TX
Zip : 78229-3735
Country : US
Telephone Number : 210-615-7911
Fax Number : 210-615-0585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 07/08/2007

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Directions to “ DR. MARIANNE J PINKSTON M.D.” Practice Location

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