Provider Demographics
NPI:1154717445
Name:W. MARSHALL GUY, MD PLLC
Entity type:Organization
Organization Name:W. MARSHALL GUY, MD PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MARSHALL
Authorized Official - Last Name:GUY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-492-8929
Mailing Address - Street 1:128 VISION PARK BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3021
Mailing Address - Country:US
Mailing Address - Phone:713-492-8929
Mailing Address - Fax:
Practice Address - Street 1:128 VISION PARK BLVD STE 150
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-3021
Practice Address - Country:US
Practice Address - Phone:713-492-8929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-13
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9864207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty