Organization Name: | MARBRIDGE FOUNDATION INC. |
NPI Number: | 1740372952 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFF TOMPKINS (ADMINISTRATOR) |
Mailing Address: | 2504 Bliss Spillar Rd Manchaca |
State: | TX US |
Postal Code: | 786524409 |
Phone Number: | 5122821000 |
Fax Number: | 5123812499 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 03/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QX0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Occupational Medicine |
Taxonomy Definition: |