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NPI Code Detail

MEDICARE: DR. THOMAS L MARVELLI M. D.

MEDICARE:  DR. THOMAS L MARVELLI  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
1207W00000XOphthalmology PhysicianG7848TX

General Provider Information

NPI Number : 1255317863
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS L MARVELLI M. D.
Provider Business Mailing Address
First Line : 6273 GRANBURY RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-3401
Country : US
Telephone Number : 817-346-7333
Fax Number : 817-346-7675
Provider Business Practice Location Address
First Line : 6273 GRANBURY RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-3401
Country : US
Telephone Number : 817-346-7333
Fax Number : 817-346-7675
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 06/13/2024

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