Organization
MARQUEZ MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDELMIRA MARQUEZ (OWNER)
(915) 850-3652
Entity
Organization
Contact information
Practice address
1580 GEORGE DIETER DR, STE 305, EL PASO, TX 79936-7612
(915) 858-6513
(915) 856-8617
Mailing address
1580 GEORGE DIETER DR, SUITE 305, EL PASO, TX 79936-7612
(915) 858-6513
(915) 856-8617
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172959201
—
TX
05
—
172959202
—
TX
Enumeration date
04/06/2007
Last updated
02/21/2008
Update your record
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