Individual provider · Type 1 NPI
Wyatt Marr
Student in an Organized Health Care Education/Training Program · Southlake, TX
NPI number
1770490369
Active
Practice location
161 Summit Ave Ste 200
Southlake, TX 76092-7072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4 other providers at this address
Other student in an organized health care education/training program providers in Southlake
- Adam AbdelqaderStudent in an Organized Health Care Education/Training Program Southlake, TX NPI 1396542270
- Casey L. Anderson, MDStudent in an Organized Health Care Education/Training Program Southlake, TX NPI 1558617464
- Analise Maria HernandezStudent in an Organized Health Care Education/Training Program Southlake, TX NPI 1942173661
About NPI 1770490369
Wyatt Marr's National Provider Identifier is 1770490369, issued on Aug 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southlake, TX. The record was last updated on Aug 27, 2026.