Marvin, Timothy Andrew

Marvin, Timothy Andrew is an individual health care provider with primary practice located at 171 Rock House Dr , Liberty Hill TX 78642-6305. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Technologists, Technicians & Other Technical Service Providers / Surgical Technologist. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is his primary health care specialty. Marvin, Timothy Andrew can be contacted via phone (512) 656-2928.

Contact Information

Primary practice address
171 Rock House Dr Liberty Hill TX 78642-6305
Phone: (512) 656-2928
Fax: (512) 656-2928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X SA00018 Texas
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X F01177 Colorado
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X F01177 Colorado
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X SA00018 Texas

Profile Details

NPI number 1497866263
LBN Legal business name Marvin, Timothy Andrew
Credentials LSA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 8th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497866263 NPPES
Colorado Other F01177 CERIFIED FIRST ASSISTANT
Colorado Other SA00018 CERIFIED FIRST ASSISTANT

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