Healthcare Provider Details

I. General information

NPI: 1639433485
Provider Name (Legal Business Name): MARCO BRITTON MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2012
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1241 W GREEN OAKS BLVD
ARLINGTON TX
76013-8350
US

IV. Provider business mailing address

204 CHATEAU AVE
KENNEDALE TX
76060-2108
US

V. Phone/Fax

Practice location:
  • Phone: 817-704-3365
  • Fax: 817-870-1784
Mailing address:
  • Phone: 217-520-6626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberPB10043190
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberQ1574
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberQ1574
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: