Provider Information for 1841996725
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MARY ANN MARKOS-JIAN
Sex: Female
NPI: 1841996725
Last Updated: 2023-02-02
Certification Date: 2023-02-02
Certification Date: 2023-02-02
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1841996725 | ||||||||
| Enumeration Date | 2023-02-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4115 KINGSFERRY DR ARLINGTON, TX 76016-3609 United States Phone: 682-557-0857 | Fax: | ||||||||
| Primary Practice Address | 4115 KINGSFERRY DR ARLINGTON, TX 76016-3609 United States Phone: 682-557-0857 | Fax: | ||||||||
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