Provider Demographics
NPI:1669082723
Name:MARSH, BILLY D (APRN)
Entity type:Individual
Prefix:
First Name:BILLY
Middle Name:D
Last Name:MARSH
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15110 QUAIL ROCK CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3226
Mailing Address - Country:US
Mailing Address - Phone:361-765-6161
Mailing Address - Fax:
Practice Address - Street 1:908 SOUTHMORE AVE STE 100
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-1120
Practice Address - Country:US
Practice Address - Phone:713-554-1091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-04
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1032081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily