MEDICARE: MARSHA HILLARY ONAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	K3623	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376545186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHA HILLARY ONAN M.D.

Provider Business Mailing Address
First Line	:	1600 W 38TH ST
Second Line	:	SUITE 320
City	:	AUSTIN
State	:	TX
Zip	:	78731-6400
Country	:	US
Telephone Number	:	512-324-3310
Fax Number	:	512-324-3311

Provider Business Practice Location Address
First Line	:	11111 RESEARCH BLVD
Second Line	:	SUITE 220
City	:	AUSTIN
State	:	TX
Zip	:	78759-5264
Country	:	US
Telephone Number	:	512-324-6755
Fax Number	:	512-324-6753

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	08/16/2012

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