Most Relevant Information
Provider Data
| NPI Number: | 1003365602 |
| Provider Name: | MARLEN VANESSA PIERSALL PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA20160088 |
Most Important Dates
| Enumeration Date: | 09/25/2016 |
| Last Updated: | 05/12/2024 |
Provider Practice Location
1801 INWOOD RD
DALLAS
TX
752357202
Practice Location Phone/Fax
| Phone: | 2146542900 |
| Fax: |
Provider Mailing Location
1801 INWOOD RD
DALLAS
TX
752357202
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |