Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARSHALL THREADGILL
Active Sole ProprietorMR. MARSHALL THREADGILL is a Registered Nurse healthcare provider located in INDIAHOMA, Oklahoma. NPI 1033589106 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · INDIAHOMA, OK
Registration Details
- NPI Number
- 1033589106
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2015 (10.892054565747 yrs)
- Last Updated
- Oct 2, 2015
- License
-
450074 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14 SW TIMBER LANE LNINDIAHOMA, OK, 735522730Browse OK providers · Browse ZIP 73552
- Phone
- 5802468301
- Primary Specialty
-
Registered Nurse
163W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.