# DR. MARK ALQUIZA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578561338
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | L9067 | TX | Yes |

## Other

- **Enumeration date:** 07/14/2005
- **Last updated:** 06/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 173024401 | — | TX |
| 05 | — | 173024403 | — | TX |
| 01 | — | 502302YLPS | WELLMED PTAN | TX |