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1457532871 NPI number — ROBBIN BUBB MARROQUIN M.D.

NPI Number: 1457532871
Health Care Provider/Practitioner: ROBBIN BUBB MARROQUIN M.D.

Information about “1457532871” NPI (ROBBIN BUBB MARROQUIN M.D.) exists in 1457532871 in HTML format HTML  |  1457532871 in plain Text format TXT  |  1457532871 in PDF (Portable Document Format) PDF  |  1457532871 in an XML format XML  formats.

NPI Number : 1457532871 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457532871",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARROQUIN",
    "FirstName": "ROBBIN",
    "MiddleName": "BUBB",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "117B LOUIS HENNA BOULEVARD",
    "SecondLineMailingAddress": "SUITE #200",
    "MailingAddressCityName": "ROUND ROCK",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78664",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-255-9634",
    "MailingAddressFaxNumber": "512-255-9634",
    "FirstLinePracticeLocationAddress": "2200 PARK BEND DR BLDG 2200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78758-5387",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "855-418-8375",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/14/2007",
    "LastUpdateDate": "08/15/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "M6745",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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