Provider Demographics
NPI:1528069648
Name:MARSHALL INTERNAL MEDICINE ASSOCIATES
Entity type:Organization
Organization Name:MARSHALL INTERNAL MEDICINE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VALARIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-927-6800
Mailing Address - Street 1:815 S WASHINGTON AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75670-5369
Mailing Address - Country:US
Mailing Address - Phone:903-927-6800
Mailing Address - Fax:903-935-0617
Practice Address - Street 1:815 S WASHINGTON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-5369
Practice Address - Country:US
Practice Address - Phone:903-927-6800
Practice Address - Fax:903-935-0617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DOES NOT APPLY207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00N634Medicare ID - Type UnspecifiedPRACTICE MEDICARE NUMBER