Doctor Name: | DR. C PERRY MARSHALL |
NPI Number: | 1801996988 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD-8243 |
Business Practice Address: | 1327 Troup Hwy Tyler, TX - 757014443 |
Business Phone Number: | 9035814300 |
Business Fax Number: | |
Mailing Address: | Po Box 841656, DALLAS |
State: | TX |
Postal Code: | 752841656 |
Phone Number: | 9035315000 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 05/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD-8243 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |