NPI 1053161133

Marianne Felice Fune Bantog, MD

Practitioner Student in an Organized Health Care Education/Training Program Victoria, TX

Practice location

Address: 501 E Colorado St, Victoria, TX 77901-6025
Phone: (361) 579-8300

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1053161133
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2024
Record last updated: 25 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.