Organization
WILLIAM S MARSH III, DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM S MARSH DO (OWNER)
(254) 519-1900
Entity
Organization
Contact information
Practice address
5320 E CENTRAL TEXAS EXPY STE 105, KILLEEN, TX 76543-5516
(254) 519-1900
(254) 519-1980
Mailing address
PO BOX 11748, KILLEEN, TX 76547-1748
(254) 519-1900
(254) 519-1980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00437R
BLUE CROSS BLUE SHIELD
TX
05
—
145079302
—
TX
Enumeration date
06/29/2006
Last updated
08/08/2022
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