Individual
LUIS CARLOS MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
901 BEDELL AVENUE, SUITE E, DEL RIO, TX 78840-4170
(830) 775-2020
(830) 775-4868
Mailing address
4400 FREDERICKSBURG RD, STE 107, SAN ANTONIO, TX 78201-1969
(210) 737-1926
(210) 737-2621
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5422TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038371301
—
TX
Enumeration date
11/21/2006
Last updated
03/07/2016
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