P Praxis·MD
● Active Type 1 · Individual

MR. Timothy Andrew Marvin, LSA

Specialist/Technologist, Other·Liberty Hill, TX· NPI 1497866263 · Enumerated 2006 · 19 years on NPI
Marvin is 1 of 3 specialist/technologist, other providers in Liberty Hill and 1 of 1407 in Texas.
NPI age
19 years
Enumerated 2006-08-31
Primary specialty
Specialist/Technologist, Other
Plus 3 subspecialties
Licensed in
TX, CO
2 states
Status
Active
No deactivations on record
Last NPPES update
2015-10-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1407 active specialist/technologist, other providers in Texas.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
2 states
Top 98% — 1% of peers are multi-state
Subspecialties
1
In the 19% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
171 Rock House Dr
Liberty Hill, TX 786426305
📞 5126562928fax 5126562928
Mailing address
171 Rock House Dr
Liberty Hill, TX 786426305
📞 5126562928fax 5126562928

Specialties

  • Specialist/Technologist, Other Primary
    A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
    TX license #SA00018CO license #F01177 taxonomy 246ZC0007X
  • Specialist/Technologist, Other
    Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the...
    CO license #F01177TX license #SA00018 taxonomy 246ZS0410X

Identifiers

TypeValueNotes
01 (CO) F01177 CERIFIED FIRST ASSISTANT
01 (TX) SA00018 LICENSE SURGICAL ASSISTANT
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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