Provider Demographics
NPI:1720365992
Name:MARBURGER, JUSTIN (CFA)
Entity Type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:
Last Name:MARBURGER
Suffix:
Gender:M
Credentials:CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8630 BRISTLECONE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3727
Mailing Address - Country:US
Mailing Address - Phone:361-212-1941
Mailing Address - Fax:
Practice Address - Street 1:8630 BRISTLECONE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3727
Practice Address - Country:US
Practice Address - Phone:361-212-1941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant