| NPI | 1790944577 |
|---|---|
| Doing Business As | MARSHALL PACKARD, M.D. |
| Entity Type | Organization |
| Authorized Contact | MARSHALL B PACKARD Owner 210-951-9501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX L1419) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L1419) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2016-06-14 |