Provider Demographics
NPI:1326080235
Name:MARSHALL, JANICE JONES (MD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:JONES
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:4700 N GALLOWAY AVE
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-1516
Practice Address - Country:US
Practice Address - Phone:972-686-6411
Practice Address - Fax:972-613-8558
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7020207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128808606Medicaid
TX128808604Medicaid
TX128808601Medicaid
TX8R1497OtherBLUE CROSS OF TX
TX128808602Medicaid
TX128808603Medicaid
TX128808601Medicaid
TX128808602Medicaid
TX8807J1Medicare PIN
TX87X853Medicare PIN
TXP00160842Medicare PIN