Cttdd Family Practice
Organization Active NPI Clinic/Center · Marshall, TX
NPI 1548089865 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1548089865
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- CTTDD FAMILY PRACTICE
- Practice address
- 402 S Bolivar St
Marshall, TX 75670-4110 - Phone
- (903) 935-9105
- NPI assigned
- Oct 3, 2024
- Organization subpart
- No
Authorized official
- Name
- Tolesia Davis
- Title
- Manager
- Phone
- (903) 742-9416
National Provider Directory
Locations
402 S Bolivar St
Marshall, TX 75670
Phone (903) 927-6969
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
402 S Bolivar St
Marshall, TX 75670-4110
Mailing address
402 S Bolivar St
Marshall, TX 75670-4110
Other providers in Marshall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.