Individual
CRAIG ANTHONY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
462 WILDFLOWER DR, LYTLE, TX 78052-3955
(210) 396-2732
Mailing address
462 WILDFLOWER DR, LYTLE, TX 78052-3955
(210) 396-2732
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
673498
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
874N80
BCBS
TX
Enumeration date
07/03/2011
Last updated
09/09/2024
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