Individual
JASON KELLY MARQUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
3851 ROGER BROOKE DRIVE, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-6200
(210) 916-3390
Mailing address
BAMC-3851 ROGER BROOKE DRIVE, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-6200
(210) 916-3390
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
810728
TX
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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