Individual
RICHARD MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6800 W IH 10, SUITE 200, SAN ANTONIO, TX 78201-2011
(210) 271-3203
(210) 733-6983
Mailing address
927 MCCULLOUGH, SAN ANTONIO, TX 78215-1630
(210) 271-3203
(210) 733-6983
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y0397
BCBS
TX
Enumeration date
07/05/2006
Last updated
03/04/2011
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