Packard, Marshall Brandon

Packard, Marshall Brandon is an sole proprietor health care provider with primary practice located at 414 Navarro St Ste 502 , San Antonio TX 78205-2580. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Packard, Marshall Brandon can be contacted via phone (210) 223-1145.

Contact Information

Primary practice address
414 Navarro St Ste 502 San Antonio TX 78205-2580
Phone: (210) 223-1145
Fax: (210) 615-7619
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L1419 Texas
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X L1419 Texas

Profile Details

NPI number 1538175443
LBN Legal business name Packard, Marshall Brandon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Apr 3rd, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538175443 NPPES
Other 529251ZWH7 MEDICARE PTAN
Other 8EE324 MEDICARE PTAN
MEDICAID 148874414 MEDICARE PTAN

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