| Doctor Name: | BRANDON COBY MARROW |
| NPI Number: | 1447283320 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | 1124584 |
| Business Practice Address: | 3110 Park Center Dr Tyler, TX - 757019215 |
| Business Phone Number: | 9035939999 |
| Business Fax Number: | 9035262679 |
| Mailing Address: | Po Box 132929, TYLER |
| State: | TX |
| Postal Code: | 757132929 |
| Phone Number: | 9035939999 |
| Fax Number: | 9035264239 |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 04/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1124584 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |