Individual
DAVID MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3615 19TH ST, LUBBOCK, TX 79410-1203
(806) 725-4288
(806) 725-0053
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R8604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1D0377
MEDICARE
TX
05
—
394501608
—
TX
01
—
8MU221
BCBS
TX
Enumeration date
06/09/2017
Last updated
08/03/2020
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