person
Gustavo Marino
Military Health Care Provider in Fort Sam Houston, Texas
NPI 1124727516

Gustavo Marino is a Military Health Care Provider based in Fort Sam Houston, TX. Gustavo Marino practices in Fort Sam Houston, TX. The NPI Number for Gustavo Marino is 1124727516 and holds a License No. (Texas).

The current practice location address for Gustavo Marino is 3551 Roger Brooke Dr, Fort Sam Houston, TX and can be reached out via phone at 813-337-8482.

Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234-4504
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Provider Profile Details
NPI Number
1124727516
Provider Name
Gustavo Marino
Credential
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234-4504
Phone Number
813-337-8482
Fax Number
Provider Enumeration Date
02/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
State
Zip
78234-4504
Phone Number
813-337-8482
Fax Number
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
State
Zip
78234-4504
Phone Number
813-337-8482
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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