Provider Demographics
NPI:1336244714
Name:MARINO, BARBARA D (MD FACOG)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:D
Last Name:MARINO
Suffix:
Gender:F
Credentials:MD FACOG
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:DOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:425 HOLDERRIETH BLVD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375
Mailing Address - Country:US
Mailing Address - Phone:281-364-6614
Mailing Address - Fax:281-351-6664
Practice Address - Street 1:425 HOLDERRIETH BLVD
Practice Address - Street 2:SUITE 212
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375
Practice Address - Country:US
Practice Address - Phone:281-364-6614
Practice Address - Fax:281-351-6664
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7724207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
76047220010008OtherCIGNA
0688383OtherAETNA
76047220010008OtherCIGNA
0688383OtherAETNA