Provider Demographics
NPI:1306910161
Name:MARSHALL MEDICAL EQUIPMENT
Entity type:Organization
Organization Name:MARSHALL MEDICAL EQUIPMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-935-3556
Mailing Address - Street 1:606 N BOLIVAR ST APT A
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75670-2016
Mailing Address - Country:US
Mailing Address - Phone:903-935-3556
Mailing Address - Fax:903-935-3556
Practice Address - Street 1:606 N BOLIVAR ST APT A
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-2016
Practice Address - Country:US
Practice Address - Phone:903-935-3556
Practice Address - Fax:903-935-3556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies