Marissa Ganeku

NPI 1639505480 · on the registry since 2013

Practice

Address: 9900 S Interstate 35
Ste A 225
Austin, TX 78748
Phone: (512) 280-0201
Organisation at this address: Sams East Inc
Sams East Inc
Agilitas Usa, Inc
Eyeris Vision Center
Smazy Enterprise Iv Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 237700000X
237700000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas