Individual
JOHN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2311 SCURRY ST, BIG SPRING, TX 79720-5552
(432) 263-2501
Mailing address
2311 SCURRY ST, BIG SPRING, TX 79720-5552
(432) 263-2501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2618TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201691-01
—
TX
Enumeration date
07/19/2006
Last updated
09/03/2010
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