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CTTDD FAMILY PRACTICE
NPI 1548089865
Clinic/Center in Marshall, TX

Active since October 03, 2024
402 S BOLIVAR ST, MARSHALL, TX 75670(903) 935-9105 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cttdd Family Practice NPPES

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

CTTDD FAMILY PRACTICE (NPI 1548089865) is a healthcare organization registered as a clinic/center in Marshall, Texas and active in the NPI registry since October 2024. The organization lists Tolesia Davis, Manager, as its authorized official.

NPPES Registry Identity

NPI1548089865
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCTTDD FAMILY PRACTICE
Location Address402 S BOLIVAR STMarshall, TX 75670-4110
Mailing Address402 S Bolivar StMarshall, TX 75670-4110
Phone(903) 935-9105
Organization SubpartNo
Authorized OfficialTolesia DavisManager · (903) 742-9416
Enumeration DateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
✔ NPI 1548089865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
402 S BOLIVAR ST, Marshall, TX 75670
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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
402 S BOLIVAR ST
MARSHALL, TX 75670
Harrison County (903) 935-9100
MARSHALL FAMILY PRACTICE ASSOCIATES PLLC
Preferred Provider Organization
402 S BOLIVAR ST
MARSHALL, TX 75670
Harrison County (903) 935-9100
ODETTE MOHAMED-SANTA MD
Family Medicine
402 S BOLIVAR ST
MARSHALL, TX 75670
Harrison County (903) 935-9100
JAMES LOGAN MD
Family Medicine
402 S BOLIVAR ST
MARSHALL, TX 75670
Harrison County (903) 935-9100
MR. DWIGHT RAYMOND CLEMANS RN. FNP
Nurse Practitioner (Family)
402 S BOLIVAR ST
MARSHALL, TX 75670
Harrison County (903) 935-9100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cttdd Family Practice's NPI number?

The NPI number for Cttdd Family Practice is 1548089865. It was assigned to this organization in the NPPES registry on October 3, 2024.

Where is Cttdd Family Practice located?

Cttdd Family Practice is located at 402 S Bolivar St, Marshall, TX 75670. The listed phone number is (903) 935-9105.

What is Cttdd Family Practice's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Cttdd Family Practice was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.