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Individual

MS. MARIAN KATHLEEN QUERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1020 NORTH ST, NACOGDOCHES, TX 75961-4406
(936) 462-4325
(936) 205-4019
Mailing address
1020 NORTH ST, NACOGDOCHES, TX 75961-4406
(936) 462-4325

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
K5671
TX
208600000X
Surgery Physician
Primary
K5671
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
152647702
TX
Enumeration date
08/31/2005
Last updated
04/22/2026
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