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Individual
MRS. LAURA MARQUEZ
Active
Individual
MRS. LAURA MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
785708
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B14G
MEDICARE B GROUP #
—
01
—
130880104
GROUP TPI
TX
01
—
1831267079
GROUP NPI
—
01
—
451901
MEDICARE A GROUP #
—
Enumeration date
09/12/2012
Last updated
06/13/2018
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