# PROVIDER PLUS LLC

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

## Provider details

- **NPI number:** 1548318249
- **Authorized official:** SHARON F MARSHALL GNP (OWNER)
- **Authorized official phone:** (832) 878-1377

## Contact information

- **Practice address:** 3723 WILLOW SPRINGS DR, MANVEL, TX 77578-4787
- **Practice address phone:** (832) 264-2133
- **Practice address fax:** (281) 485-9817
- **Mailing address:** 3723 WILLOW SPRINGS DR, MANVEL, TX 77578-4787
- **Mailing address phone:** (832) 264-2133
- **Mailing address fax:** (281) 485-9817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SG0600X | Gerontology Clinical Nurse Specialist | 513451 | TX | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/22/2020