Active NPI
Julia Marshall, PAC
- Physician Assistant
- Dallas, TX
National Provider Identifier
1023056595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA05672
- Practice address
- 7777 Forest Lane
Suite B332
Dallas, TX 75230-6822 - Phone
- (972) 566-7788
- Fax
- (972) 566-8837
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA05672 | TX | Primary |
Addresses
Primary practice location
7777 Forest Lane
Suite B332
Dallas, TX 75230-6822
Mailing address
PO Box 650615
Dallas, TX 75265-0615
Phone (972) 566-7788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA05672 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1023056595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650615",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650615",
"telephone_number": "972-566-7788",
"fax_number": "972-566-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LANE",
"address_2": "SUITE B332",
"city": "DALLAS",
"state": "TX",
"postal_code": "752306822",
"telephone_number": "972-566-7788",
"fax_number": "972-566-8837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "JULIA",
"name_prefix": "Mrs.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA05672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.