William Bert Marshall Jr., LAT

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

LAT1523 Issued in TX

Practice address

110 Crestway
Floresville, TX 78114-1648

Phone

(830) 743-6839

NPI assigned

Mar 24, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1467102327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CRESTWAY",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781141648",
            "telephone_number": "830-743-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CRESTWAY",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781141648",
            "telephone_number": "830-743-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "WILLIAM",
        "middle_name": "BERT",
        "name_suffix": "Jr.",
        "credential": "LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "TX",
            "license": "LAT1523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joung Woo Lee, D.M.D.
• Randall Wayne Lerich, DDS
• Gina Martin Lowery, LMSW
• Phaidra Reese Malcher, DPT, PT
• Ana V. Mancuso, M.D.
• Jonathan Edward Martinez, RPH.
• Paul Adrian Martinez, PHARM.D.
• Sherry Kay Martinez, LCSW
• Lauren N Massey Williams, DMD
• Troy A Massie

• Sports Medicine (Emergency Medicine) Physician in Floresville, TX
• Providers in Floresville, TX by specialty
• Sports Medicine (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.