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NPI Code Detail

MEDICARE: MARSHALL MORRISON MD

MEDICARE: MARSHALL MORRISON MD
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
1207R00000XInternal Medicine PhysicianG5405TX

Other Identifiers

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

General Provider Information

NPI Number : 1508836099
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHALL MORRISON MD
Provider Business Mailing Address
First Line : 141 INDUSTRIAL AVE
Second Line :
City : AZLE
State : TX
Zip : 76020-2901
Country : US
Telephone Number : 817-270-3132
Fax Number :
Provider Business Practice Location Address
First Line : 141 INDUSTRIAL AVE
Second Line :
City : AZLE
State : TX
Zip : 76020-2901
Country : US
Telephone Number : 817-270-3132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 02/23/2022

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Directions to “ MARSHALL MORRISON MD” Practice Location

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