MRS. MARILYN MARTIN PETRO (NPI# 1336464783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336464783 |
| Entity Type | Individual |
| Full Name | MRS. MARILYN MARTIN PETRO |
| Other Name | MRS. MARTI PETRO |
| Credential | WHNP-RX AUTH |
| Practice Address |
1141 Keller Pkwy Suite A Keller TX 76248-1627 |
| Practice Telephone | 8177412601 |
| Practice Fax Number | 8177452601 |
| Mailing Telephone | 8177412601 |
| Mailing Fax Number | 8177452601 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
685722 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | GROUP NPI | 1578768701 | 01 |
| Street Address |
1141 KELLER PKWY SUITE A |
| City | KELLER |
| State | TX |
| Zip Code | 76248-1627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649215641 | Thomas H Vaughan Jr. | Obstetrics & Gynecology | 1141 Keller Pkwy, Suite A, Keller, TX 76248-1628 | 2006-06-17 |
| 1831414291 | Karen Dee Morgan | Nurse Practitioner | 1141 Keller Pkwy, Suite A, Keller, TX 76248-1628 | 2010-03-29 |
| 1134455256 | Richard A Nichols, Dpm, Pa | Podiatrist | 1141 Keller Pkwy, Suite C, Keller, TX 76248-1627 | 2009-10-23 |
| 1558547299 | Laurie Jean Burke | Nurse Practitioner | 1141 Keller Pkwy, Suite A, Keller, TX 76248-1628 | 2008-01-11 |
| 1578768701 | North Texas Womens Health Care Associates P A | Obstetrics & Gynecology | 1141 Keller Pkwy, Suite A, Keller, TX 76248-1627 | 2007-06-18 |
| 1023210382 | Prasanthi Tondapu | Internal Medicine | 1141 Keller Pkwy, Suite C, Keller, TX 76248-1627 | 2007-05-31 |
| 1609091628 | David Harrison Smith | Chiropractor | 1141 Keller Pkwy, Suite B, Keller, TX 76248-1627 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556145 | Tyler Woodall | Counselor | 1668 Keller Parkway, Suite 200, Keller, TX 76248 | 2020-07-28 |
| 1396366456 | Kelcie Dao | Speech-Language Pathologist | 630 B Stoneglen Drive, Keller, TX 76248 | 2020-04-29 |
| 1003447384 | Alliance Orthotics and Prosthetics, L.L.C. | Prosthetic/Orthotic Supplier | 101 Bourland Rd Suite A, Keller, TX 76248 | 2020-01-27 |
| 1033759832 | Everest Rehabilitation Hospital Keller, LLC | Rehabilitation Hospital | 955 S. Main St., Keller, TX 76248 | 2020-01-09 |
| 1750934253 | Pediatric Dentistry of Keller Pllc | Dentist | 1627 Keller Parkway, Suite 100, Keller, TX 76248 | 2019-07-23 |
| 1306345293 | Jaqui Otto | Psychologist | 1664 Keller Parkway Ste 102, Keller, TX 76248 | 2018-02-06 |
| 1194223404 | Hartman Samuel Ian Watson | Chiropractor | 1211 S Main St Ste 300h, Keller, TX 76248 | 2018-02-01 |
| 1760900997 | Md First Watch Healthcare Pllc | Clinic/Center | 310 Keller Parkway, Keller, TX 76248 | 2017-09-08 |
| 1588104541 | Elias Alharari | Nurse Practitioner | 651 S Main St Ste 102, Keller, TX 76248 | 2017-02-24 |
| 1730631698 | Alliance Counseling and Education Center | Social Worker | 1540 Keller Parkway, Ste. 108-205, Keller, TX 76248 | 2016-10-26 |
| Find all providers in zip 76248 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831414291 | Karen Dee Morgan | Nurse Practitioner | 1141 Keller Pkwy, Suite A, Keller, TX 76248-1628 | 2010-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074262 | Asia Deann Johnson | Nurse Practitioner | 511 Park Grove Dr, Katy, TX 77450-1759 | 2020-02-08 |
| 1497396071 | Laura Anna Villegas | Nurse Practitioner | 301 Lorenaly Dr Ste E, Brownsville, TX 78526-4446 | 2019-10-04 |
| 1831669944 | Karen Petrusic Mcneal | Nurse Practitioner | 350 Kingwood Medical Dr Ste 350, Kingwood, TX 77339-6405 | 2018-12-01 |
| 1023521721 | Jennifer Carter | Nurse Practitioner | 4221 Ridgecrest, Suite 103, Greenville, TX 75402 | 2017-11-16 |
| 1992127674 | Melissa Johnson | Nurse Practitioner | 401 E 6th St, Odessa, TX 79761-4516 | 2014-01-14 |
| 1063852341 | Carmen Moreno-low | Nurse Practitioner | 7121 Spid Dr Ste 302, Corpus Christi, TX 78412-4941 | 2013-07-01 |
| 1699021451 | Marlene Cornelius | Nurse Practitioner | 929 Gessner Rd Ste 2225, Houston, TX 77024-2584 | 2012-07-31 |
| 1730468588 | Coastal Bend Women's Center | Nurse Practitioner | 7121 Spid Dr Ste 200, Corpus Christi, TX 78412-4940 | 2011-08-11 |
| 1871803916 | Debra Ann Myers | Nurse Practitioner | 1400 N Zaragoza Rd, Suite B, El Paso, TX 79936-8002 | 2010-10-07 |
| 1669783346 | Diane Henry | Nurse Practitioner | 3650 W Wheatland Rd Ste A, Dallas, TX 75237-4409 | 2010-06-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.