MEDICARE: MARVIN CRIDDLE CULBERTSON III 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
1	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	F9341	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0083DB	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1851360309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARVIN CRIDDLE CULBERTSON III MD

Provider Business Mailing Address
First Line	:	PO BOX 8549
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76124-0549
Country	:	US
Telephone Number	:	817-451-4208
Fax Number	:	817-563-3699

Provider Business Practice Location Address
First Line	:	6200 W PARKER RD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-7939
Country	:	US
Telephone Number	:	972-981-8000
Fax Number	:

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

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	02/05/2008

Similar Medicare Providers

1962402396 — DR. ERIC RICHARD KAPLAN MD
Practice Location Address:

6200 W PARKER RD , STE 112
PLANO, TX
75093-7939

Practice Phone: 972-981-7715
Practice Fax: 972-981-7714

1639153851 — NORTH TEXAS PERINATAL ASSOCIATES PA
Practice Location Address:

6130 W PARKER RD , SUITE 302
PLANO, TX
75093-7939

Practice Phone: 972-473-6216
Practice Fax:

1932186921 — MS. LOURDES RINON CRNA
Practice Location Address:

6200 W PARKER RD
PLANO, TX
75093-7939

Practice Phone: 972-981-3365
Practice Fax: 972-981-8496

1164402301 — KENNETH J. TRIMMER MD
Practice Location Address:

6200 W PARKER RD , #302
PLANO, TX
75093-7939

Practice Phone: 972-473-6216
Practice Fax:

1376503680 — MRS. LOLA HUSSEY CRNA
Practice Location Address:

6200 W PARKER RD
PLANO, TX
75093-7939

Practice Phone: 972-981-3365
Practice Fax:

1073571758 — JEFFREY DAVID DIEBNER MD
Practice Location Address:

6200 W PARKER RD
PLANO, TX
75093-7939

Practice Phone: 972-608-8000
Practice Fax:

Directions to “ MARVIN CRIDDLE CULBERTSON III MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.