Provider Demographics
NPI:1588677843
Name:MARSHALL, MURIEL ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:MURIEL
Middle Name:ANN
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MURIEL
Other - Middle Name:ANN
Other - Last Name:MARSHALL-BAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:825 N MCDONALD ST
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-2141
Mailing Address - Country:US
Mailing Address - Phone:972-548-5532
Mailing Address - Fax:972-548-4396
Practice Address - Street 1:825 N MCDONALD ST
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-2141
Practice Address - Country:US
Practice Address - Phone:972-548-5532
Practice Address - Fax:972-548-4396
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3150207Q00000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF56474Medicare UPIN
TX8B1774Medicare ID - Type Unspecified