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Individual
DR. EDWARD ANTHONY MARQUEZ
Active
Individual
DR. EDWARD ANTHONY MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6901T
TX
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
06901TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6901T
STATE BOARD LICENSE
TX
Enumeration date
09/14/2006
Last updated
10/11/2012
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