Individual
MARIE ESTHER MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3864 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 338-6600
(505) 338-6621
Mailing address
3864 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 338-6600
(505) 338-6621
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA04802
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA04802
TEXAS MEDICAL BOARD
TX
Enumeration date
02/28/2007
Last updated
02/11/2009
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