Provider Demographics
NPI:1134487275
Name:MARC INC
Entity type:Organization
Organization Name:MARC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:G
Authorized Official - Last Name:FULLER
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:432-498-8590
Mailing Address - Street 1:2701 N A ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-6611
Mailing Address - Country:US
Mailing Address - Phone:432-498-8590
Mailing Address - Fax:432-682-2606
Practice Address - Street 1:2701 N A ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-6611
Practice Address - Country:US
Practice Address - Phone:432-498-8590
Practice Address - Fax:432-682-2606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-26
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable