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Marissa Bothun, P.A.-C
NPI 1942507207 · on the registry since 2011
Practice
- Address
- 1020 W Ralph Hall Pkwy Ste 102
Rockwall, TX 75032 - Phone
- (972) 390-9002
- Fax
- (972) 722-3553
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-08
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