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NPI Code Detail

MEDICARE: BELLE LORRAINE MARLEY CAA

MEDICARE: BELLE LORRAINE MARLEY CAA
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
1367H00000XAnesthesiologist Assistant

General Provider Information

NPI Number : 1669315867
Entity Type Code : Individual
Provider Name (Legal Business Name) : BELLE LORRAINE MARLEY CAA
Provider Business Mailing Address
First Line : 9104 TAYLORCREST CV
Second Line :
City : AUSTIN
State : TX
Zip : 78749-3472
Country : US
Telephone Number : 512-586-5824
Fax Number :
Provider Business Practice Location Address
First Line : 919 E 32ND ST
Second Line :
City : AUSTIN
State : TX
Zip : 78705-2703
Country : US
Telephone Number : 512-544-7111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ BELLE LORRAINE MARLEY CAA” Practice Location

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