Provider Demographics
NPI:1013493204
Name:BAUL, MARION TAMIE
Entity Type:Individual
Prefix:
First Name:MARION
Middle Name:TAMIE
Last Name:BAUL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 ROCKDALE DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-2039
Mailing Address - Country:US
Mailing Address - Phone:469-544-9845
Mailing Address - Fax:
Practice Address - Street 1:1504 ROCKDALE DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-2039
Practice Address - Country:US
Practice Address - Phone:469-544-9845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant