Provider Demographics
NPI:1538199682
Name:MARSHALL, CINDY D (MD)
Entity type:Individual
Prefix:DR
First Name:CINDY
Middle Name:D
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9101 N CENTRAL EXPY STE 230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-6079
Mailing Address - Country:US
Mailing Address - Phone:214-818-5765
Mailing Address - Fax:214-818-5782
Practice Address - Street 1:7515 GREENVILLE AVE
Practice Address - Street 2:SUITE 503
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3831
Practice Address - Country:US
Practice Address - Phone:214-345-7355
Practice Address - Fax:214-345-2682
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK78142084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0003KTOtherBCBS #
TX163503902Medicaid
TXH90221Medicare UPIN
TX610208Medicare ID - Type Unspecified