| Dr Marilyn Marx, MD, MBA | |
| 
					301 University Blvd, Galveston, TX 77555-0531  | |
| (409) 747-7359 | |
| (409) 747-7378 | 
| Full Name | Dr Marilyn Marx | 
|---|---|
| Gender | Female | 
| Speciality | Surgery | 
| Location | 301 University Blvd, Galveston, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316046329 | NPI | - | NPPES | 
| P00775545 | Other | TX | RAILROAD MEDICARE | 
| 138479406 | Medicaid | TX | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | G6212 (Texas) | Primary | 
| 2086S0127X | Surgery - Trauma Surgery | G6212 (Texas) | Secondary | 
| Entity Name | Utmb Faculty Group Practice | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Marilyn Marx, MD, MBA 301 University Blvd, Galveston, TX 77555-0531 Ph: (409) 747-7359  | Dr Marilyn Marx, MD, MBA 301 University Blvd, Galveston, TX 77555-0531 Ph: (409) 747-7359  | 
Dr. Jennifer Ann Minneman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1011 Fax: 409-772-4456  | |
Danielle Rogan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-8119  | |
Dr. Ravi Radhakrishnan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd., Galveston, TX 77555 Phone: 409-772-5666 Fax: 409-772-4253  | |
Mohammadali Mohajel Shoja, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-1369  | |
Joseph Patrick Kearney Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Rt 1022, Galveston, TX 77555 Phone: 409-772-2222  | |
Carlos Gabriel Chavez, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-0531 Fax: 409-772-0557  | |
Juliano Lentz Carvalho, MD Surgery Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-0531  |