Healthcare Provider Details

I. General information

NPI: 1912831611
Provider Name (Legal Business Name): MARQUEZ MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2137 W MANOR ST
CHANDLER AZ
85224-8366
US

IV. Provider business mailing address

2137 W MANOR ST
CHANDLER AZ
85224-8366
US

V. Phone/Fax

Practice location:
  • Phone: 432-386-6123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER MARQUEZ
Title or Position: OWNER
Credential: MS, ATC, LAT
Phone: 432-386-6123