# GENA WILLARD MARSHALL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922095173
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA03192 | TX | Yes |
| 363AM0700X | Medical Physician Assistant | PA03192 | TX | — |
| 363AS0400X | Surgical Physician Assistant | PA03192 | TX | — |

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 08/28/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1922095173 | BLUE CROSS BLUE SHIELD | TX |
| 05 | — | 206246501 | — | TX |
| 05 | — | 206246502 | — | TX |
| 05 | — | 206246503 | — | TX |
| 05 | — | 206246504 | — | TX |
| 01 | — | 8376ND | BLUE CROSS BLUE SHIELD | TX |
| 01 | — | 864N28 | BCBS | TX |
| 01 | — | 8Y8690 | BLUE CROSS BLUE SHIELD | TX |
| 01 | — | P00735961 | RAILROAD MEDICARE | TX |
| 01 | — | P01107875 | RR MEDICARE | TX |
| 01 | — | P01259383 | MEDICARE RR | TX |