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Marie Black

NPI 1467944488 · on the registry since 2018

Practice

Address
1100 Wilford Hall Loop Bldg 455459
Jbsa Lackland, TX 78236
Phone
(210) 292-5972
Clinicians at this address
600

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas