Individual ProviderMarshall Jay DawerInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address5800 Granite Pkwy, Plano, TX 75024-6614(469) 633-8741(972) 732-6828PECOS EnrollmentBased on the most recent information from CMS, provider Marshall Jay Dawer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1467728576Provider TypeIndividualFull NameDawer, Marshall JayTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date3/23/2012Last Updated3/23/2012Contact InformationPractice LocationPractice Address5800 Granite Pkwy, Plano, TX 75024-6614Phone(469) 633-8741FaxUnlisted FaxMailing LocationMailing Address17431 Woods Edge Dr, Dallas, TX 75287-7541Phone(972) 732-6828FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseJ8987TexasCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense19196MississippiCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense22718OklahomaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseG46408California