Individual
KRISTAN MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1023 LIPSCOMB ST STE 200, FORT WORTH, TX 76104-3102
(972) 544-6600
(972) 544-6604
Mailing address
1023 LIPSCOMB ST STE 200, FORT WORTH, TX 76104-3102
(972) 544-6600
(972) 544-6604
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17986
TX
Other
Enumeration date
03/11/2024
Last updated
05/31/2024
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