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NPI Code Detail

MEDICARE: MARQUIS THOMAS

MEDICARE: MARQUIS THOMAS
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
1246ZS0410XSurgical Technologist
2246ZC0007XSurgical Assistant

General Provider Information

NPI Number : 1316803711
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARQUIS THOMAS
Provider Business Mailing Address
First Line : 4510 IRONTON AVE APT 5204
Second Line :
City : LUBBOCK
State : TX
Zip : 79407-3785
Country : US
Telephone Number : 210-374-4229
Fax Number :
Provider Business Practice Location Address
First Line : 1060 FIRST COLONIAL RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-3002
Country : US
Telephone Number : 210-374-4229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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Directions to “ MARQUIS THOMAS ” Practice Location

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