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NPI Code Detail

MEDICARE: DR. WARREN HUNTER MARROW DDS

MEDICARE:  DR. WARREN HUNTER MARROW  DDS
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
11223E0200XEndodontics15644TX

General Provider Information

NPI Number : 1356346159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WARREN HUNTER MARROW DDS
Provider Business Mailing Address
First Line : 1550 W ROSEDALE ST
Second Line : STE 510
City : FORT WORTH
State : TX
Zip : 76104-7409
Country : US
Telephone Number : 817-877-0900
Fax Number : 817-877-0977
Provider Business Practice Location Address
First Line : 1550 W ROSEDALE ST
Second Line : STE 510
City : FORT WORTH
State : TX
Zip : 76104-7409
Country : US
Telephone Number : 817-877-0900
Fax Number : 817-877-0977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 07/08/2007

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Directions to “ DR. WARREN HUNTER MARROW DDS” Practice Location

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