Individual
DR. JESUS MARCIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2200 W ENNIS AVE, SUITE A, ENNIS, TX 75119-8054
(972) 875-8676
(972) 875-8481
Mailing address
2200 W ENNIS AVE, SUITE A, ENNIS, TX 75119-8054
(972) 875-8676
(972) 875-8481
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186463901
—
TX
01
—
608125
BLUE CROSS PROVIDER ID
TX
01
—
9380653
PHCS PROVIDER ID
TX
Enumeration date
08/09/2005
Last updated
02/13/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us