Provider Demographics
NPI:1306829106
Name:HUGHART, MARSHA SUE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:SUE
Last Name:HUGHART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:16001 PARK TEN PL
Mailing Address - Street 2:STE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-5135
Mailing Address - Country:US
Mailing Address - Phone:713-407-3000
Mailing Address - Fax:713-461-3476
Practice Address - Street 1:16001 PARK TEN PL
Practice Address - Street 2:STE 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5135
Practice Address - Country:US
Practice Address - Phone:713-407-3000
Practice Address - Fax:713-461-3479
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF8165207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPO8505649Medicaid
TX8187B0Medicare PIN
TXB23639Medicare UPIN