MEDICARE: MR. ALEXEI CARINO MARQUEZ PT, DPT

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	225100000X	Physical Therapist	CP046311T	TX

General Provider Information

NPI Number	:	1952605495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEXEI CARINO MARQUEZ PT, DPT

Provider Business Mailing Address
First Line	:	581 PAN AMERICAN DR STE 3
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1960
Country	:	US
Telephone Number	:	254-394-2710
Fax Number	:	254-307-9700

Provider Business Practice Location Address
First Line	:	581 PAN AMERICAN DR STE 3
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1960
Country	:	US
Telephone Number	:	254-394-2710
Fax Number	:	254-307-9700

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

Provider Enumeration Date	:	12/24/2010
Last Update Date	:	11/04/2025

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