Individual
DAWN DENISE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
540 MADISON OAK DR, STE 610, SAN ANTONIO, TX 78258-3924
(210) 352-5346
(210) 352-5367
Mailing address
540 MADISON OAK DR, STE 610, SAN ANTONIO, TX 78258-3924
(210) 352-5346
(210) 352-5367
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
152254
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13780315
CAQH
TX
01
—
152254
NBSTSA
—
Enumeration date
08/19/2014
Last updated
03/09/2016
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