Organization
JUNE MARSHALL,M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE GABRIELLE MARSHALL M.D. (MEDICAL DOCTOR)
(713) 697-2897
Entity
Organization
Contact information
Practice address
7333 NORTH FWY, SUITE 120, HOUSTON, TX 77076-1300
(713) 697-2897
(713) 490-7248
Mailing address
7333 NORTH FWY, SUITE 120, HOUSTON, TX 77076-1300
(713) 697-2897
(713) 490-7248
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G5961
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F75T
MEDICARE ID
TX
05
—
033218101
—
TX
01
—
10019905
AMERIGROUP
TX
01
—
1649341
LOUISIANA PROVIDER NUMBER
LA
Enumeration date
04/26/2011
Last updated
04/26/2011
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