Individual
MR. MARCUS JOSEPH DUPART SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11025 ACOMA ST, EL PASO, TX 79934-2840
(504) 905-4773
Mailing address
11025 ACOMA ST, EL PASO, TX 79934-2840
(504) 905-4773
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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