Organization
EVOLVE AESTHETICS & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE ANN MARQUEZ APRN, FNP-C (NURSE PRACTITIONER)
(806) 702-4988
Entity
Organization
Contact information
Practice address
6414 98TH ST, SUITE 200, LUBBOCK, TX 79424
(806) 702-4988
(806) 702-4989
Mailing address
6414 98TH ST, SUITE 200, LUBBOCK, TX 79424
(806) 702-4988
(806) 702-4989
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
08/25/2022
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