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Organization
PETER H. MARSH, M.D., PA
Active
Organization
PETER H. MARSH, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER HYATT MARSH M.D. (PRESIDENT OWNER)
(972) 932-2142
Entity
Organization
Contact information
Practice address
874 ED HALL DR, SUITE 106, KAUFMAN, TX 75142-1861
(972) 932-2142
(972) 962-5185
Mailing address
PO BOX 1227, KAUFMAN, TX 75142-5403
(972) 932-2142
(972) 962-5185
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
G1470
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017RZ
BLUE CROSS BLUE SHIELD PROVIDER
TX
05
—
2005100001
—
TX
01
—
D04991
PALMETTO GBA RAILROAD MEDICARE
TX
Enumeration date
04/18/2007
Last updated
07/06/2010
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