Aj Marshall Medical, PLLC
Organization Active NPI Multi-Specialty Clinic/Center · Magnolia, TX
NPI 1669181707 · NPPES record last updated Nov 19, 2022
Key facts
- NPI
- 1669181707
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- AJ MARSHALL MEDICAL, PLLC
- Practice address
- 6910 FM 1488 Rd Ste 3
Magnolia, TX 77354-1540 - Phone
- (281) 789-4182
- Fax
- (281) 789-7636
- NPI assigned
- Nov 17, 2022
- Organization subpart
- No
Authorized official
- Name
- Mr. Aaron Marshall
- Title
- Cfo
- Phone
- (281) 789-4182
Practitioners 16
-
Sandra K Diaz, APRN
-
Jamie Morgan Marshall, D.C.
-
Rosetta Thomas, DC
-
David Roy Bush, APRN
-
Theodore John Krzysik, MSN, APRN, FNP-BC
-
Connie Marie Alkoka, FNP-C
-
Shawna Deanne Steffan, PA-C
-
Cerita Gaddi, D.C.
-
Adraine Lynn Mosely, D.C,
-
Charlsie Prein, DC
-
Courtney Reynolds, D.C.
-
Faith Eliabeth Wilson, D.C.
-
Julie Ann Gonzalez, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230112001826 | TX | Part B Supplier - Clinic/Group Practice | 8325418106 |
Receives reassigned benefits from 8 practitioners Practice locations: Magnolia, TX |
| O20240416002040 | TX | DME Supplier - Multi-Specialty - Physician | 8325418106 | Practice locations: Magnolia, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
6910 FM 1488 Rd Ste 3
Magnolia, TX 77354-1540
Mailing address
6910 FM 1488 Rd Ste 3
Magnolia, TX 77354-1540
Other practice location 1
17099 Walden Rd Ste 100
Montgomery, TX 77356-3249
Phone (936) 703-2610
Other names
- Quality of Life Medical Center
Other providers in Magnolia, TX
- Advanced Cardiac & Vascular Institute PLLC
- Affordable Homecare LLC
- Agilitas USA, Inc
- Alia Ahmed
- Hylary Ahrendt
- Aj Marshall, LLC
- Opeyemi Boyede Ajibola
- Omosefe Jumoke Akojenu
- Al Squared LLC
- Sandra Adela Alaniz
All providers in Magnolia, TX · Multi-Specialty Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.