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NPI Code Detail

MEDICARE: JUSTIN MARSHALL O'BRIEN MD

MEDICARE: JUSTIN MARSHALL O'BRIEN MD
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
12084P0800XPsychiatry PhysicianU3969TX

General Provider Information

NPI Number : 1306423017
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN MARSHALL O'BRIEN MD
Provider Business Mailing Address
First Line : 4441 W AIRPORT FWY STE 215
Second Line :
City : IRVING
State : TX
Zip : 75062-5959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4441 W AIRPORT FWY STE 215
Second Line :
City : IRVING
State : TX
Zip : 75062-5959
Country : US
Telephone Number : 469-913-6136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2021
Last Update Date : 12/04/2025

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Directions to “ JUSTIN MARSHALL O'BRIEN MD” Practice Location

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