Marshall, Gena Willard

Marshall, Gena Willard is an individual health care provider with primary practice located at 9101 N Central Expy Ste 600 , Dallas TX 75231-5956. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Marshall, Gena Willard can be contacted via phone (214) 818-0935.

Contact Information

Primary practice address
9101 N Central Expy Ste 600 Dallas TX 75231-5956
Phone: (214) 818-0935
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA03192 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA03192 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA03192 Texas

Profile Details

NPI number 1922095173
LBN Legal business name Marshall, Gena Willard
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Aug 28th, 2017 - about 9 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 1922095173 NPPES
Texas MEDICAID 206246501
Texas Other 8376ND
Texas Other 1922095173
Texas Other P01107875
Texas MEDICAID 206246502
Texas Other 8Y8690
Texas Other P00735961
Texas MEDICAID 206246504
Texas Other P01259383
Texas Other 864N28
Texas MEDICAID 206246503

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