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Marlene Cereceres
Medical Physician Assistant in Midland, Texas
NPI 1649825001

Marlene Cereceres is a Medical Physician Assistant based in Midland, TX and is specialized in Medical. Marlene Cereceres practices in Midland, TX. The NPI Number for Marlene Cereceres is 1649825001 and holds a License No. (Texas).

The current practice location address for Marlene Cereceres is 1211 W Illinois Ave, Midland, TX and can be reached out via phone at 432-262-3822.

Location: 1211 W Illinois Ave, Midland, TX, 79703-6143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649825001
Provider Name
Marlene Cereceres
Credential
Provider Entity Type
Individual
Gender
Female
Address
1211 W Illinois Ave, Midland, TX, 79703-6143
Phone Number
432-262-3822
Fax Number
Provider Enumeration Date
08/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1211 W Illinois Ave
City
Midland
State
Texas
Zip
79701-6158
Phone Number
432-262-3822
Fax Number
person
Provider Business Mailing Address Details
Address
1211 W Illinois Ave
City
Midland
State
Texas
Zip
79701-6158
Phone Number
432-262-3822
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA13915 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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