Provider Demographics
NPI:1245544691
Name:VACLAW, MARCIN NOBLE (DPM)
Entity type:Individual
Prefix:DR
First Name:MARCIN
Middle Name:NOBLE
Last Name:VACLAW
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:9191 PINECROFT DRIVE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2799
Mailing Address - Country:US
Mailing Address - Phone:281-909-7722
Mailing Address - Fax:281-909-7733
Practice Address - Street 1:9191 PINECROFT DRIVE
Practice Address - Street 2:SUITE 150
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2799
Practice Address - Country:US
Practice Address - Phone:281-909-7722
Practice Address - Fax:281-909-7733
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2025-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXT36-2010213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery