Juntilla, Marisa M
Juntilla, Marisa M is an individual health care provider with primary practice located at 2330 Inwood Road , Dallas TX 75390-2200. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Juntilla, Marisa M can be contacted via phone (214) 648-0921.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology | 207ZC0006X | A117810 | California |
| Allopathic & Osteopathic Physicians / Clinical Pathology | 207ZC0006X | T3488 | Texas |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | T3488 | Texas |
Profile Details
| NPI number | 1689800229 |
|---|---|
| LBN Legal business name | Juntilla, Marisa M |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2009 |
| Last updated | Jul 22nd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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