Individual
MS. MARSHA MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2571
(972) 566-7000
Mailing address
8234 LAFLIN LN, DALLAS, TX 75231-4625
(214) 952-0835
(888) 656-4584
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0010-00135
NC
363AS0400X
Surgical Physician Assistant
Primary
PA05381
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG1038
MEDICARE RAILROAD
TX
Enumeration date
07/06/2006
Last updated
01/04/2022
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