Individual
DR. CESSLEY MARSELLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 HILLCREST MEDICAL BLVD, WACO, TX 76712-8948
(254) 297-0400
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L9796
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1690273-01
—
TX
01
—
1690273-02
CSHCN
TX
01
—
8P2375
BLUE SHIELD
TX
Enumeration date
03/27/2006
Last updated
01/27/2022
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