Provider Demographics
NPI:1194965269
Name:DSSB MARLOW P.C.
Entity type:Organization
Organization Name:DSSB MARLOW P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARRAN
Authorized Official - Middle Name:WADE
Authorized Official - Last Name:MARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-608-5087
Mailing Address - Street 1:PO BOX 1177
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-1177
Mailing Address - Country:US
Mailing Address - Phone:972-608-5087
Mailing Address - Fax:972-608-5056
Practice Address - Street 1:6020 W PARKER RD
Practice Address - Street 2:SUITE 230
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8171
Practice Address - Country:US
Practice Address - Phone:972-608-5087
Practice Address - Fax:972-608-5056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7029111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty