Individual
MARSHA MORRELL DECAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LYNDON B JOHNSON FWY STE 200, DALLAS, TX 75240-6524
(972) 233-1999
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704236874
MI
367500000X
Certified Registered Nurse Anesthetist
645156
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP108323
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104493761
—
MI
01
—
8259UC
BCBS
TX
01
—
MD236874
BLUE CROSS OF MI
MI
05
—
PENDING
—
TX
Enumeration date
07/29/2006
Last updated
04/27/2020
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