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NPI Code Detail

MEDICARE: MICHAEL MARQUEZ PA-C

MEDICARE: MICHAEL MARQUEZ PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician AssistantPA03875TX

General Provider Information

NPI Number : 1003810805
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL MARQUEZ PA-C
Provider Business Mailing Address
First Line : 1441 WOODSTEAD CT
Second Line : STE 300
City : THE WOODLANDS
State : TX
Zip : 77380-1449
Country : US
Telephone Number : 281-367-0400
Fax Number : 281-367-1204
Provider Business Practice Location Address
First Line : 1441 WOODSTEAD CT
Second Line : STE 300
City : THE WOODLANDS
State : TX
Zip : 77380-1449
Country : US
Telephone Number : 281-367-0400
Fax Number : 281-367-1204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 07/08/2007

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Directions to “ MICHAEL MARQUEZ PA-C” Practice Location

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