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Contact Information

MARIAN GAVIOLA, PHARM.D.
3500 CAMP BOWIE BLVD
FORT WORTH, TX76107-2644
 Phone: 817-735-2252
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care

1835C0205X
Indicates primary specialty

NPI Profile & details for MARIAN GAVIOLA · (Female)

NPI # 1659907517
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 03/22/2020
Last updated 03/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 57095
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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