# KIMBERLY S. MARSHALL, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194175851
- **Authorized official:** DR. KIMBERLY S MARSHALL M.D. (PRESIDENT)
- **Authorized official phone:** (817) 329-0389

## Contact information

- **Practice address:** 1600 W COLLEGE ST, SUITE 340, GRAPEVINE, TX 76051-3580
- **Practice address phone:** (817) 329-0389
- **Practice address fax:** (817) 421-1416
- **Mailing address:** 1600 W COLLEGE ST, SUITE 340, GRAPEVINE, TX 76051-3580
- **Mailing address phone:** (807) 329-0389
- **Mailing address fax:** (817) 421-1416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | N9598 | TX | Yes |

## Other

- **Enumeration date:** 06/14/2016
- **Last updated:** 06/14/2016