NPI 1528070414

Marshall Family Practice Associates PLLC

Organisation Preferred Provider Organization Marshall, TX

Practice location

Address: 402 S Bolivar St, Marshall, TX 75670-4110
Phone: (903) 935-9100
Fax: (903) 935-9102

Authorised official

Name: Tolesia Smith
Title: Office Manager
Phone: (903) 935-9110

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1528070414
Entity type: Organization
NPI issued: 12 Aug 2006
Record last updated: 12 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.