MEDICARE: MRS. TRACIE ANN MARQUEZ

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
1	225X00000X	Occupational Therapist	105079	TX

General Provider Information

NPI Number	:	1518447531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TRACIE ANN MARQUEZ

Provider Business Mailing Address
First Line	:	5632 OLD ORCHARD DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-5009
Country	:	US
Telephone Number	:	817-939-5485
Fax Number	:

Provider Business Practice Location Address
First Line	:	5632 OLD ORCHARD DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76123-5009
Country	:	US
Telephone Number	:	817-939-5485
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2018
Last Update Date	:	08/20/2018

Similar Medicare Providers

1093834970 — ANNA J MANZANO LCSW
Practice Location Address:

201 SYCAMORE SCHOOL RD
FORT WORTH, TX
76134-5009

Practice Phone: 817-293-7610
Practice Fax:

1053511998 — DIVERSICARE ESTATES LLC
Practice Location Address:

201 SYCAMORE SCHOOL RD
FORT WORTH, TX
76134-5009

Practice Phone: 817-293-7610
Practice Fax: 817-293-5766

1811227424 — EDUCARE COMMUNITY LIVING CORPORATION - TEXAS
Practice Location Address:

5009 MARBLE FALLS RD
FORT WORTH, TX
76103-1221

Practice Phone: 800-866-0860
Practice Fax:

1760874077 — RENEW TOXICOLOGY
Practice Location Address:

5009 S HULEN ST
FORT WORTH, TX
76132-1967

Practice Phone: 817-717-7605
Practice Fax:

1720445976 — ANDREA SPENCER
Practice Location Address:

201 SYCAMORE SCHOOL RD
FORT WORTH, TX
76134-5009

Practice Phone: 817-293-7610
Practice Fax:

1841816105 — JORDAN SMITH
Practice Location Address:

7101 BRYANT IRVIN RD UNIT 34506
FORT WORTH, TX
76162-5009

Practice Phone: 817-368-1980
Practice Fax: 888-206-1272

Directions to “ MRS. TRACIE ANN MARQUEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.