Provider Demographics
NPI:1942528138
Name:EARLY, MARSHALL D (DO)
Entity Type:Individual
Prefix:DR
First Name:MARSHALL
Middle Name:D
Last Name:EARLY
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 1:2405 WEST MISSOURI AVENUE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-6800
Mailing Address - Country:US
Mailing Address - Phone:432-697-1061
Mailing Address - Fax:432-697-7089
Practice Address - Street 1:2405 W MISSOURI AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6800
Practice Address - Country:US
Practice Address - Phone:432-697-1061
Practice Address - Fax:432-697-7089
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ6624208600000X, 2086S0127X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery