Provider Demographics
NPI:1841240066
Name:MARSHALL TRUCK & TRAILER, INC
Entity Type:Organization
Organization Name:MARSHALL TRUCK & TRAILER, INC
Other - Org Name:MARSHALL MOBILITY PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:BIRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-971-8646
Mailing Address - Street 1:120 N 20TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-6902
Mailing Address - Country:US
Mailing Address - Phone:956-971-8646
Mailing Address - Fax:956-687-2281
Practice Address - Street 1:120 N. 20TH ST.
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501
Practice Address - Country:US
Practice Address - Phone:956-971-8646
Practice Address - Fax:956-687-2281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0054436332B00000X, 332BC3200X
TXTXD 0013052332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010125502Medicaid
TX010125501Medicaid
TX010125503Medicaid
TX010125504Medicaid
TX130398OtherTEXAS TRUE CHOICE
TX130398OtherTEXAS TRUE CHOICE