Provider Demographics
NPI:1376545186
Name:ONAN, MARSHA HILLARY (MD)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:HILLARY
Last Name:ONAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1600 W 38TH ST
Mailing Address - Street 2:SUITE 320
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-6400
Mailing Address - Country:US
Mailing Address - Phone:512-324-3310
Mailing Address - Fax:512-324-3311
Practice Address - Street 1:11111 RESEARCH BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5264
Practice Address - Country:US
Practice Address - Phone:512-324-6755
Practice Address - Fax:512-324-6753
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2012-08-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK3623207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX117115905Medicaid
TXG88682Medicare UPIN
TX8B6858Medicare ID - Type Unspecified
TX8F9818Medicare PIN