Provider Demographics
NPI:1902109986
Name:LIMBRICK, MARILYN
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:
Last Name:LIMBRICK
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 1:20122 YOSEMITE FALLS DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-2708
Mailing Address - Country:US
Mailing Address - Phone:281-673-9552
Mailing Address - Fax:713-728-3995
Practice Address - Street 1:20122 YOSEMITE FALLS DR
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-2708
Practice Address - Country:US
Practice Address - Phone:281-673-9552
Practice Address - Fax:713-728-3995
Is Sole Proprietor?:No
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator