Provider Demographics
NPI:1720164338
Name:MARSHALL WOMENS CLINIC
Entity Type:Organization
Organization Name:MARSHALL WOMENS CLINIC
Other - Org Name:JOHN C LINGOLD, JR M.D. AND C. ERIC MCCATHRAN,MD,PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:MCCATHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-938-5330
Mailing Address - Street 1:815 S WASHINGTON AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75670-5369
Mailing Address - Country:US
Mailing Address - Phone:903-938-5330
Mailing Address - Fax:902-927-6896
Practice Address - Street 1:815 S WASHINGTON AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-5369
Practice Address - Country:US
Practice Address - Phone:903-938-5330
Practice Address - Fax:902-927-6896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0075EMOtherBLUE CROSS/BLUE SHIELD