Provider Demographics
NPI:1225745573
Name:MARBLE FALLS PRIMARY CARE, PLLC
Entity type:Organization
Organization Name:MARBLE FALLS PRIMARY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTHERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:512-966-6385
Mailing Address - Street 1:101 N US HIGHWAY 281 STE 101
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-5764
Mailing Address - Country:US
Mailing Address - Phone:830-265-6299
Mailing Address - Fax:830-637-6866
Practice Address - Street 1:101 N US HIGHWAY 281 STE 101
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-5764
Practice Address - Country:US
Practice Address - Phone:830-265-6299
Practice Address - Fax:830-637-6866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-04
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care