Organization
PETER H. MARSH, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER HYATT MARSH M.D. (PRESIDENT OWNER)
(972) 932-2142
Entity
Organization
Contact information
Practice address
874 ED HALL DR, SUITE 106, KAUFMAN, TX 75142-1861
(972) 932-2142
(972) 962-5185
Mailing address
PO BOX 1227, KAUFMAN, TX 75142-5403
(972) 932-2142
(972) 962-5185
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
G1470
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017RZ
BLUE CROSS BLUE SHIELD PROVIDER
TX
05
—
2005100001
—
TX
01
—
D04991
PALMETTO GBA RAILROAD MEDICARE
TX
Enumeration date
04/18/2007
Last updated
07/06/2010
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