Marshall, Robert Larry
Marshall, Robert Larry is an individual health care provider with primary practice located at 855 Montgomery St , Fort Worth TX 76107-2553. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Marshall, Robert Larry can be contacted via phone (817) 735-2660.Contact Information
Primary practice address
855 Montgomery St
Fort Worth TX 76107-2553
Phone: (817) 735-2660
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | D9846 | Texas |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D9846 | Texas |
Profile Details
NPI number | 1891991881 |
---|---|
LBN Legal business name | Marshall, Robert Larry |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 26th, 2007 |
Last updated | Dec 17th, 2009 - about 15 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 | 1891991881 | NPPES |
Texas | MEDICAID | 114096404 | |
Texas | Other | P00415560 | |
Texas | Other | 8X9560 |
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