MEDICARE: DR. JOANN PATRICIA MARRUFFO D.D.S, M.S

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	1223P0700X	Prosthodontics	21130	TX

General Provider Information

NPI Number	:	1457496960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANN PATRICIA MARRUFFO D.D.S, M.S

Provider Business Mailing Address
First Line	:	2600 SOUTH LOOP W STE 570
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2643
Country	:	US
Telephone Number	:	713-667-3300
Fax Number	:	713-667-7590

Provider Business Practice Location Address
First Line	:	2600 SOUTH LOOP W STE 570
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2643
Country	:	US
Telephone Number	:	713-667-3300
Fax Number	:	713-667-7590

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

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	07/08/2007

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