Provider Demographics
NPI:1629078449
Name:MARSHIO, PAT J (DO)
Entity Type:Individual
Prefix:
First Name:PAT
Middle Name:J
Last Name:MARSHIO
Suffix:
Gender:M
Credentials:DO
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 669
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:TX
Mailing Address - Zip Code:78358
Mailing Address - Country:US
Mailing Address - Phone:361-729-4050
Mailing Address - Fax:361-729-2282
Practice Address - Street 1:2851 HWY 35 N
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382
Practice Address - Country:US
Practice Address - Phone:361-729-4050
Practice Address - Fax:361-729-2282
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF-3547208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPOOOTT77Medicare ID - Type Unspecified
A67374Medicare UPIN