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NPI Code Detail

MEDICARE: CHAUNCI MARSHALL

MEDICARE:   CHAUNCI  MARSHALL
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
1246RP1900XPhlebotomy TechnicianQ4M9B5R3TX

General Provider Information

NPI Number : 1437019072
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAUNCI MARSHALL
Provider Business Mailing Address
First Line : 8205 CAMP BOWIE WEST BLVD STE 108
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-6326
Country : US
Telephone Number : 682-221-3778
Fax Number :
Provider Business Practice Location Address
First Line : 8205 CAMP BOWIE WEST BLVD STE 108
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-6326
Country : US
Telephone Number : 682-221-3778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2025
Last Update Date : 11/17/2025

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Directions to “ CHAUNCI MARSHALL ” Practice Location

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