Marianne Deshaies

Primary specialty

Pathology Specialist/TechnologistTaxonomy code 246Q00000X

License

36651

Practice address

9846 Hwy 31 E
Tyler, TX 75705-2329

Phone

(903) 592-8001

Fax

(903) 525-3858

NPI assigned

Jun 27, 2019

Last updated

Jun 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1952962177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9846 HWY 31 E",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757052329",
            "telephone_number": "903-592-8001",
            "fax_number": "903-525-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9846 HWY 31 E",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757052329",
            "telephone_number": "903-592-8001",
            "fax_number": "903-525-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHAIES",
        "first_name": "MARIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology",
            "state": null,
            "license": "36651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dept of Assistive & Rehab Serv - Tyler Field Headquarters
• Dermatology and Laser Center of Tyler, P.a.
• Dermatology of East Texas PA
• Kadeja Derrick
• Yagnesh Kanti Desai, MD
• Andre Deshong, LCDC
• Amy Michelle Deshotel, MS, CCC/SLP
• Minale Desta, M.D.
• Robel Desta
• Luis A Destarac, M.D.

• Pathology Specialist/Technologist in Tyler, TX
• Providers in Tyler, TX by specialty
• Pathology Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.