Healthcare Provider Details

I. General information

NPI: 1679222467
Provider Name (Legal Business Name): JOSHUA J MARSH DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MEDICAL CENTER BLVD STE 350
CONROE TX
77304-2878
US

IV. Provider business mailing address

500 MEDICAL CENTER BLVD STE 350
CONROE TX
77304-2878
US

V. Phone/Fax

Practice location:
  • Phone: 936-270-8655
  • Fax: 936-270-8739
Mailing address:
  • Phone: 936-270-8655
  • Fax: 936-270-8739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberV7259
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: