Provider Demographics
NPI:1316981020
Name:STREFLING, MARLEN S (MD)
Entity type:Individual
Prefix:
First Name:MARLEN
Middle Name:S
Last Name:STREFLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 SOUTH PARK DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5952
Mailing Address - Country:US
Mailing Address - Phone:325-643-5445
Mailing Address - Fax:325-643-5447
Practice Address - Street 1:125 SOUTH PARK DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5952
Practice Address - Country:US
Practice Address - Phone:325-643-5445
Practice Address - Fax:325-643-5447
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5491207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0013RCOtherBCBS PROVIDER-GROUP
TX0346454-01Medicaid
TX0874390001OtherCIGNA -PALMETTO
TX8AW457OtherBCBS PROVIDER #
TX0013RCOtherBCBS PROVIDER-GROUP
TX0874390001OtherCIGNA -PALMETTO
TX00L78HMedicare ID - Type Unspecified