Marshall, Gena Willard
Marshall, Gena Willard is an individual health care provider with primary practice located at 9101 N Central Expy Ste 600 , Dallas TX 75231-5956. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Marshall, Gena Willard can be contacted via phone (214) 818-0935.Contact Information
Primary practice address
9101 N Central Expy Ste 600
Dallas TX 75231-5956
Phone: (214) 818-0935
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA03192 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA03192 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA03192 | Texas |
Profile Details
| NPI number | 1922095173 |
|---|---|
| LBN Legal business name | Marshall, Gena Willard |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Aug 28th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922095173 | NPPES |
| Texas | MEDICAID | 206246501 | |
| Texas | Other | 8376ND | |
| Texas | Other | 1922095173 | |
| Texas | Other | P01107875 | |
| Texas | MEDICAID | 206246502 | |
| Texas | Other | 8Y8690 | |
| Texas | Other | P00735961 | |
| Texas | MEDICAID | 206246504 | |
| Texas | Other | P01259383 | |
| Texas | Other | 864N28 | |
| Texas | MEDICAID | 206246503 |
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