Gustavo Marin M.D.P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E0540 Issued in TX

Legal business name

GUSTAVO MARIN M.D.P.A.

Doing business as

East Plano Family Clinic

Practice address

2380 E Park Blvd
Suite 300
Plano, TX 75074-5151

Phone

(972) 633-8747

Fax

(972) 633-8356

NPI assigned

Dec 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nohora Marin

Title

Office Manager

Phone

(972) 633-8747

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• East Plano Family Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396804514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 E PARK BLVD",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745151",
            "telephone_number": "972-633-8747",
            "fax_number": "972-633-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 E PARK BLVD",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745151",
            "telephone_number": "972-633-8747",
            "fax_number": "972-633-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO MARIN M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "NOHORA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-633-8747",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E0540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARKLAND GROUP NUMBER",
            "identifier": "13085",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INDIVIDUAL",
            "identifier": "434703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP GROUP NUMBER",
            "identifier": "10027616",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IN",
            "identifier": "8V4390",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GR",
            "identifier": "0086NL",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IN",
            "identifier": "H08V4391",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Plano Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shreya Gupta, DO
• Urmila Gupta, M.D.
• Barbara Romaine Gupton, SPEECH LANGUAGE PATH
• Yamuna Gurrapu, M.D.
• Maria Irene Gurrola
• Maria D Gutierrez Robleto, BCBA
• Nicole Gutierrez-Holubz, DNP, FNP-BC
• Kathryn Christine Gutierrez
• Brian Christopher Gutknecht, PA-C
• Lena Guy

• Family Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.