| Mrs Lucianne Marin, MD | |
|
1001 S Palestine St, Athens, TX 75751-3614 | |
| (903) 535-9041 | |
| (903) 904-5085 |
| Full Name | Mrs Lucianne Marin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1001 S Palestine St, Athens, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821024654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | P8503 (Texas) | Primary |
| Entity Name | Tyler Family Circle Of Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144575820 PECOS PAC ID: 4587812888 Enrollment ID: O20120911000666 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lucianne Marin, MD 523 S Fannin Ave, Tyler, TX 75702-8204 Ph: (903) 535-9041 | Mrs Lucianne Marin, MD 1001 S Palestine St, Athens, TX 75751-3614 Ph: (903) 535-9041 |
Marel A Hanks, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 N Palestine St, Athens, TX 75751 Phone: 903-535-9041 | |
Dr. J Elaine Shaw, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1505 State Highway 19 S, Athens, TX 75751 Phone: 903-675-1725 Fax: 903-675-7668 | |
Vandana Char, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 824 Southpark Cir, Athens, TX 75752 Phone: 903-675-7376 Fax: 903-677-4234 |