Healthcare Provider Details

I. General information

NPI: 1508211244
Provider Name (Legal Business Name): MARKQUADA MEJU DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. MARKQUADA HAMILTON

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14438 BELLAIRE BLVD
HOUSTON TX
77083-7520
US

IV. Provider business mailing address

7001 CORPORATE DR STE 120
HOUSTON TX
77036-5113
US

V. Phone/Fax

Practice location:
  • Phone: 713-773-0803
  • Fax:
Mailing address:
  • Phone: 713-773-0803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number32819
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: