MARSHALL FAMILY PRACTICE ASSOCIATES PLLC
NPI 1528070414
Preferred Provider Organization in Marshall, TX

Q: What is Marshall Family Practice Associates PLLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since August 12, 2006CLIA 45D2146439 · Waiver

402 S BOLIVAR ST, MARSHALL, TX 75670(903) 935-9100(903) 935-9102 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marshall Family Practice Associates Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARSHALL FAMILY PRACTICE ASSOCIATES PLLC (NPI 1528070414) is a healthcare organization registered as a preferred provider organization in Marshall, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Tolesia Smith, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1528070414

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NameMARSHALL FAMILY PRACTICE ASSOCIATES PLLC

Location Address402 S BOLIVAR STMarshall, TX 75670-4110

Mailing Address402 S Bolivar StMarshall, TX 75670-4110 · (903) 935-9100 · Fax (903) 935-9102

Phone(903) 935-9100

Fax(903) 935-9102

Organization SubpartNo

Authorized OfficialTolesia SmithOffice Manager · (903) 935-9110

Enumeration DateAugust 12, 2006

Last NPPES UpdateFebruary 12, 2008

✔ NPI 1528070414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

402 S BOLIVAR ST, Marshall, TX 75670

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Other Identifiers 1

Medicare PIN00W843

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2146439

Marshall Family Practice · Marshall, TX

Active · expires Mar 28, 2028

CLIA Number45D2146439

Laboratory TypePhysician Office

Certificate Effective DateMarch 29, 2026

Certificate Expiration DateMarch 28, 2028

Laboratory DirectorOdette Mohamed-Santa

Laboratory Phone(903) 935-9100

Laboratory LocationMarshall Family Practice402 S Bolivar, Marshall, TX 75670

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASMINE JOHNSON FNP-C

Family Medicine