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Individual

DR. MARQUE ANTHONY ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
21 SPURS LN, STE 300, SAN ANTONIO, TX 78240-1679
(210) 699-8326
(210) 561-7121
Mailing address
21 SPURS LN, STE 300, SAN ANTONIO, TX 78240-1679
(210) 699-8326
(210) 561-7121

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
1457
TX
213ES0131X
Foot Surgery Podiatrist
Primary
1457
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10572631
CAQH
TX
05
147689702
TX
01
8K7143
BCBS
TX
Enumeration date
01/04/2007
Last updated
09/10/2014
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