DWAYNE D MARROTT (NPI# 1730290065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730290065 |
| Entity Type | Individual |
| Full Name | DWAYNE D MARROTT |
| Credential | PHD |
| Practice Address |
10450 Brian Mooney Ave El Paso TX 79935-2809 |
| Mailing Address |
913 Via Corta Ct El Paso TX 79912-6643 |
| Practice Telephone | 9155986616 |
| Practice Fax Number | 9155986651 |
| Mailing Telephone | 9158332520 |
| Mailing Fax Number | 9155986651 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
24316 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 034403801 | 05 |
| Street Address |
10450 BRIAN MOONEY AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79935-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134172646 | Actioncare Rehabilitation Center LLC | Clinic/Center | 10450 Brian Mooney Ave, El Paso, TX 79935-2809 | 2006-05-18 |
| 1811597487 | Olga Fernanda Najera | Physical Therapy Assistant | 10450 Brian Mooney Ave, El Paso, TX 79935-2809 | 2020-10-31 |
| 1902417710 | Cristina Amanda Trujillo | Physical Therapist | 10450 Brian Mooney Ave, El Paso, TX 79935-2809 | 2020-08-14 |
| 1710509104 | Joshua Brooks | Occupational Therapist | 10450 Brian Mooney Ave, El Paso, TX 79935-2809 | 2020-05-08 |
| 1821624537 | Ashley Nicole Duenes | Occupational Therapist | 10450 Brian Mooney Ave, El Paso, TX 79935-2809 | 2020-03-14 |
| 1972136505 | Matthew Dale Cox | Occupational Therapist | 10450 Brian Mooney Ave, El Paso, TX 79935-2809 | 2020-02-21 |
| 1790327237 | Briana Arlene Sanchez | Speech-Language Pathologist | 10450 Brian Mooney Ave, El Paso, TX 79935-2809 | 2019-10-16 |
| 1477103729 | Zachary Marrott | Physical Therapist | 10450 Brian Mooney Ave, El Paso, TX 79935-2809 | 2019-09-18 |
| 1144878133 | Anthony James Mahar | Physical Therapy Assistant | 10450 Brian Mooney Ave, El Paso, TX 79935-2809 | 2019-09-03 |
| 1821651449 | Manuel Vaquera Jr. | Occupational Therapist | 10450 Brian Mooney Ave, El Paso, TX 79935-2809 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093261604 | Julio Alcala | Radiologic Technologist | 10291 Pellicano Suite 102, El Paso, TX 79935 | 2016-09-01 |
| 1760841423 | Anant Shukla | Preventive Medicine | Mendoza Aviation Clinic (11335 Ssg Sims Blvd), El Paso, TX 79935 | 2016-02-23 |
| 1306249834 | Ector County Hospital District | Skilled Nursing Facility | 1599 Lomaland Drive, El Paso, TX 79935 | 2014-09-29 |
| 1164831079 | Elizabeth Espinoza | Pharmacist | 2112 Trawood, El Paso, TX 79935 | 2014-08-05 |
| 1396151759 | The Lasik Vision Institute LLC | Clinic/Center | 10961 Gateway, Suite 300, El Paso, TX 79935 | 2014-07-07 |
| 1427461896 | Henry Vu | Optometrist | 10961 Gateway West, Ste 300, El Paso, TX 79935 | 2014-06-03 |
| 1982947636 | Novoa Medical Services, Pa | Obstetrics & Gynecology | 10781 Pebble Hills, Suite A, El Paso, TX 79935 | 2013-04-01 |
| 1366796724 | New Leaf Wellness Center | Counselor | 10921 Pellicano Dr Ste 110, El Paso, TX 79935 | 2012-11-06 |
| 1295980670 | Amy Latonia Hensley | Massage Therapist | 2278 Trawood Dr., Ste. C, El Paso, TX 79935 | 2008-11-26 |
| 1477752855 | Sunland Optical Co Inc | Durable Medical Equipment & Medical Supplies | 1156 Barranca, El Paso, TX 79935 | 2007-07-16 |
| Find all providers in zip 79935 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144727512 | Blake Alexander Riddell | Psychologist | 600 Sunland Park Dr., Bldg. 6, Suite 100, El Paso, TX 79912-7991 | 2018-04-11 |
| 1174911457 | Justin D. Kepple | Psychologist | 8412 Basil Ct, El Paso, TX 79925-3902 | 2015-01-08 |
| 1841637998 | Randall Hampton Rattan | Psychologist | 7717 Lockheed, Suite E, El Paso, TX 79925 | 2013-05-30 |
| 1033553904 | Stacey Richardson | Psychologist | 5005 N. Piedras St, Attn, Wbamc, El Paso, TX 79920-5001 | 2013-04-23 |
| 1770628216 | Jerry L Bryan | Psychologist | 1200 Golden Key Cir, #140, El Paso, TX 79925-5820 | 2007-02-21 |
| 1659417756 | Sara Beth Bosley | Psychologist | 51000 N. Piedras Street, Room A374, El Paso, TX 79930-4211 | 2007-01-29 |
| 1366592693 | Mario Di Biase | Psychologist | 7001 Westwind Dr Ste 170, El Paso, TX 79912-1778 | 2007-01-11 |
| 1407467780 | Javier Carrillo, Phd. Pllc | Psychologist | 2300 George Dieter Dr, El Paso, TX 79936-3963 | 2020-08-11 |
| 1942773072 | Westwind Psychological Services, Pllc | Psychologist | 7001 Westwind Dr Ste 170, El Paso, TX 79912-1778 | 2019-01-11 |
| 1093281172 | Patrie Cherrelle Williams | Psychologist | 5001 N Piedras St, El Paso, TX 79930-4210 | 2018-10-16 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.