| Aj Marshall Medical, Pllc | |
|
6910 Fm 1488 Rd Ste 3 Magnolia TX 77354-1540 | |
| (281) 789-4182 | |
| (281) 789-7636 |
| Full Name | Aj Marshall Medical, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6910 Fm 1488 Rd Ste 3, Magnolia, Texas |
| Authorized Official Name and Position | Aaron Marshall (CFO) |
| Authorized Official Contact | 2817894182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aj Marshall Medical, Pllc 6910 Fm 1488 Rd Ste 3 Magnolia TX 77354-1540 Ph: () - | Aj Marshall Medical, Pllc 6910 Fm 1488 Rd Ste 3 Magnolia TX 77354-1540 Ph: (281) 789-4182 |
| NPI Number | 1669181707 |
|---|---|
| Provider Enumeration Date | 11/17/2022 |
| Last Update Date | 11/19/2022 |
| Medicare PECOS PAC ID | 8325418106 |
|---|---|
| Medicare Enrollment ID | O20230112001826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669181707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | David Roy Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881649945 PECOS PAC ID: 7416959051 Enrollment ID: I20120109000523 |
| Provider Name | Jamie M Marshall |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538498118 PECOS PAC ID: 3476716226 Enrollment ID: I20120702000055 |
| Provider Name | Joseph Nicholas Dragonette |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255301859 PECOS PAC ID: 9638067655 Enrollment ID: I20210907002451 |
| Provider Name | Connie Alkoka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538676291 PECOS PAC ID: 7315299518 Enrollment ID: I20220314002173 |
| Provider Name | Jennifer Doucet |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598493678 PECOS PAC ID: 1456735604 Enrollment ID: I20220907001828 |
| Provider Name | Ashleigh Mangus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548770787 PECOS PAC ID: 3678944048 Enrollment ID: I20230123000385 |
| Provider Name | Theodore John Krzysik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225620032 PECOS PAC ID: 0042687949 Enrollment ID: I20230814003685 |
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Randall D. Walker, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 827 Magnolia Blvd Ste 6, Magnolia, TX 77355 Phone: 281-356-2900 Fax: 281-356-5830 | |
Elevate Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33300 Egypt Ln Ste A800, Magnolia, TX 77354 Phone: 936-788-6493 Fax: 844-705-0120 | |
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