Healthcare Provider Details

I. General information

NPI: 1538199682
Provider Name (Legal Business Name): CINDY D. MARSHALL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 09/01/2023
Certification Date: 09/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7515 GREENVILLE AVE SUITE 503
DALLAS TX
75231-3831
US

IV. Provider business mailing address

9101 N CENTRAL EXPY STE 230
DALLAS TX
75231-6079
US

V. Phone/Fax

Practice location:
  • Phone: 214-345-7355
  • Fax: 214-345-2682
Mailing address:
  • Phone: 214-818-5765
  • Fax: 214-818-5782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberK7814
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberK7814
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: