Organization
R LARRY MARSHALL MD PA
Active
Other names
Robert Larry Marshall
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R LARRY MARSHALL MD (PHYSICIAN)
(817) 332-9688
Entity
Organization
Contact information
Practice address
1650 W ROSDALE, STE 302, FORT WORTH, TX 76104
(817) 332-9688
Mailing address
1650 W ROSDALE, STE 302, FORT WORTH, TX 76104
(817) 332-9688
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
D9846
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00782T
MEDICARE GRP NO
—
Enumeration date
02/23/2006
Last updated
08/22/2020
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