Individual provider · Type 1 NPI

John Robert Marietta, MD

Specialist · Austin, TX

NPI number 1114033693 Active

Practice location

6101 Balcones Dr Ste 300
Austin, TX 78731-4277

Call (512) 482-0045 Map

Fax (512) 476-9892

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XE8690 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1114033693

John Robert Marietta, MD's National Provider Identifier is 1114033693, issued on Aug 21, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Austin, TX. The record was last updated on Jul 8, 2007.