Provider Demographics
NPI:1376571687
Name:MARSHALL, THOMAS E (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:E
Last Name:MARSHALL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:21502 MERCHANTS WAY
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2517
Mailing Address - Country:US
Mailing Address - Phone:281-944-2232
Mailing Address - Fax:281-944-2290
Practice Address - Street 1:1025 BIRDSONG DR STE A
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3771
Practice Address - Country:US
Practice Address - Phone:281-422-2020
Practice Address - Fax:281-422-4959
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2024-10-16
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Provider Licenses
StateLicense IDTaxonomies
TXH0603207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX125529103Medicaid
TX180022813OtherRAILROAD MEDICARE
TX685366OtherAETNA