Provider Demographics
NPI:1437456274
Name:FORBUS, MARCELENE ANN (RT(ARRT), RPA(CBRPA))
Entity Type:Individual
Prefix:MRS
First Name:MARCELENE
Middle Name:ANN
Last Name:FORBUS
Suffix:
Gender:F
Credentials:RT(ARRT), RPA(CBRPA)
Other - Prefix:
Other - First Name:MARCELENE
Other - Middle Name:ANN
Other - Last Name:COMPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7708 N 26TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-5497
Mailing Address - Country:US
Mailing Address - Phone:956-287-3223
Mailing Address - Fax:
Practice Address - Street 1:7708 N 26TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-5497
Practice Address - Country:US
Practice Address - Phone:956-287-3223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-14
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX08TX1349243U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant