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NPI Code Detail

MEDICARE: MRS. LIZBET MARQUEZ MMS PA-C

MEDICARE:  MRS. LIZBET  MARQUEZ  MMS 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
1363AM0700XMedical Physician AssistantPA19167CA
2363AM0700XMedical Physician AssistantPA04709TX

General Provider Information

NPI Number : 1255546453
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LIZBET MARQUEZ MMS PA-C
Provider Business Mailing Address
First Line : 3280 JOE BATTLE BLVD
Second Line :
City : EL PASO
State : TX
Zip : 79938-2622
Country : US
Telephone Number : 915-832-2000
Fax Number :
Provider Business Practice Location Address
First Line : 3280 JOE BATTLE BLVD
Second Line :
City : EL PASO
State : TX
Zip : 79938-2622
Country : US
Telephone Number : 915-832-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2007
Last Update Date : 05/31/2011

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Directions to “ MRS. LIZBET MARQUEZ MMS PA-C” Practice Location

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