Individual
CHELSEA MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N LOOP 1604 E STE 175, SAN ANTONIO, TX 78232
(210) 545-4422
(210) 545-4495
Mailing address
400 N LOOP 1604 E STE 175, SAN ANTONIO, TX 78232-1231
(210) 545-4422
(210) 545-4495
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83251
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344910001
—
TX
01
—
75-2616977-008
TRICARE
TX
01
—
8EV159
BCBS
TX
01
—
P01408031
RAILROAD MEDICARE
TX
Enumeration date
11/07/2014
Last updated
06/04/2018
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