MEDICARE: LIANN MARRUFFO

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
1	122300000X	Dentist	29102	TX

General Provider Information

NPI Number	:	1073956629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIANN MARRUFFO

Provider Business Mailing Address
First Line	:	2600 S LOOP W STE 570
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2643
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 S LOOP W STE 570
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2643
Country	:	US
Telephone Number	:	713-667-3300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2013
Last Update Date	:	02/24/2026

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Directions to “ LIANN MARRUFFO ” Practice Location

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