Individual
JOSE JESUS MARQUEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1514 N ZARAGOZA RD, EL PASO, TX 79936-8031
(915) 257-5782
Mailing address
2221 HONOUR POINT PL, EL PASO, TX 79938-5234
(915) 234-6492
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
2082847
TX
Other
Enumeration date
11/02/2019
Last updated
11/02/2019
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