Healthcare Provider Details

I. General information

NPI: 1114840782
Provider Name (Legal Business Name): MARILYN MCCLURE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3008 HAMPTON PATH
ARGYLE TX
76226-4071
US

IV. Provider business mailing address

3008 HAMPTON PATH
ARGYLE TX
76226-4071
US

V. Phone/Fax

Practice location:
  • Phone: 512-658-9666
  • Fax:
Mailing address:
  • Phone: 512-658-9666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1232132
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: