| Organization Name: | MARSHALL B PACKARD, P.A. |
| NPI Number: | 1760676076 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARSHALL BRANDON PACKARD (PRESIDENT) |
| Mailing Address: | 1865 Worth St Hemphill |
| State: | TX US |
| Postal Code: | 759487201 |
| Phone Number: | 4097871945 |
| Fax Number: | 4097874593 |
| NPI Enumeration Date: | 08/29/2007 |
| NPI Last Update Date: | 08/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | L1419 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |