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Individual

DR. JOHN B MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7777 FOREST LN, DALLAS, TX 75230-2505
(972) 758-3598
Mailing address
PO BOX 201606, DALLAS, TX 75320-1606
(972) 758-3598

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M0164
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173183801
TX
01
8J1776
BCBS
TX
01
P00283723
MEDICARE RAILROAD
TX
Enumeration date
12/20/2005
Last updated
07/09/2014
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