Provider Demographics
NPI:1538498118
Name:MARSHALL, JAMIE MORGAN (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:MORGAN
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6910 FM 1488 RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-6829
Mailing Address - Country:US
Mailing Address - Phone:281-789-4182
Mailing Address - Fax:281-789-7636
Practice Address - Street 1:6910 FM 1488 RD
Practice Address - Street 2:SUITE 3
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-6829
Practice Address - Country:US
Practice Address - Phone:281-789-4182
Practice Address - Fax:281-789-7636
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11327111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB150855Medicare UPIN