Douglas Warren Marshall, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G6209 Issued in TX

Practice address

400 Concord Plaza Dr
300
San Antonio, TX 78216-6905

Phone

(210) 804-5480

Fax

(210) 804-5419

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1437191574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CONCORD PLAZA DR",
            "address_2": "300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166905",
            "telephone_number": "210-804-5480",
            "fax_number": "210-804-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONCORD PLAZA DR",
            "address_2": "300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166905",
            "telephone_number": "210-804-5480",
            "fax_number": "210-804-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "DOUGLAS",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "G6209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1425172",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8H3630",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00067872",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4116848",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda D. Marshall, MD
• Athena Marshall, RBT
• Christina Marshall
• Darren Marshall, MD
• Dawn Denise Marshall, CST/CSFA
• Glory B Marshall, D.D.S., M.S.
• Laura Suzzette Marshall, LCSW
• Louisa Marshall, SLP
• Margaret Anne Marshall, PTA
• Michelle Marie Marshall, LPC

• Neurology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.