MS. MARSHA MCRAE


Address: 9250 Highridge Dr, Dallas, TX 75238
Phone: 2149520835

MS. MARSHA MCRAE (NPI# 1891726667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891726667
Entity Type Individual
Full Name MS. MARSHA MCRAE
Credential PA
Practice Address 9250 Highridge Dr
Dallas
TX 75238
Mailing Address 9250 Highridge Dr
Dallas
TX 75238-2764
Practice Telephone 2149520835
Practice Fax Number 8886564584
Mailing Telephone 2149520835
Mailing Fax Number 8886564584
Enumeration Date 2006-07-06
Last Update Date 2018-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 0010-00135 NC Allopathic & Osteopathic Physicians
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA05381 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICARE RAILROAD DG1038 01

Office Location

Street Address 9250 HIGHRIDGE DR
City DALLAS
State TX
Zip Code 75238

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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1326691957 Kourtney Marie Willett Physician Assistant 1411 N Beckley Ave Pav 3 Suite 363, Dallas, TX 75203-1259 2019-07-23
1003302944 Amk Provider Solutions Pllc Physician Assistant 8197 Midtown Blvd Apt 15101, Dallas, TX 75231-4566 2018-07-03
1184136632 Pa Solutions, Pllc Physician Assistant 1408 N Riverfront Blvd # 166, Dallas, TX 75207-3912 2017-10-24
1528589918 Operator Assistants, LLC Physician Assistant 8440 Walnut Hill Ln Ste 250, Dallas, TX 75231-3815 2017-07-06
1447603683 Exos Surgical Assist, Pllc Physician Assistant 7324 Gaston Ave Ste 124-90, Dallas, TX 75214-6126 2016-07-22
1871941419 Premier Physician Surgical Associates, Pllc Physician Assistant 9540 Garland Rd # 381-416, Dallas, TX 75218-5004 2016-05-24
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1689057820 Horizon Pa Services, Pllc Physician Assistant 381 Casa Linda Plz # 417, Dallas, TX 75218-3471 2015-07-07
1942681572 Ridgeback Assist, Pllc Physician Assistant 381 Casa Linda Plz # 418, Dallas, TX 75218-3471 2015-06-09
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Competitor

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City DALLAS
Zip Code 75238

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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