Individual
DR. RENATO MARQUEZ ORACION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
808 TOWER DR, SUITE 3, ODESSA, TX 79761-4239
(432) 582-0370
Mailing address
808 TOWER DR, SUITE 3, ODESSA, TX 79761-4239
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
L4085
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8K0940
BLUE CROSS BLUE SHIELD
TX
01
—
P00125824
RAILROAD MEDICARE
TX
Enumeration date
01/03/2006
Last updated
03/07/2023
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