Organization
PROVIDER PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON F MARSHALL GNP (OWNER)
(832) 878-1377
Entity
Organization
Contact information
Practice address
3723 WILLOW SPRINGS DR, MANVEL, TX 77578-4787
(832) 264-2133
(281) 485-9817
Mailing address
3723 WILLOW SPRINGS DR, MANVEL, TX 77578-4787
(832) 264-2133
(281) 485-9817
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
513451
TX
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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