Individual
DR. EDWARD ANTHONY MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3001 PABLO KISEL BLVD STE E, BROWNSVILLE, TX 78526-4280
(956) 621-3311
(956) 621-3324
Mailing address
3001 PABLO KISEL BLVD STE E, BROWNSVILLE, TX 78526-4280
(956) 621-3311
(956) 621-3324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6901T
TX
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
06901TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6901T
STATE BOARD LICENSE
TX
Enumeration date
09/14/2006
Last updated
10/11/2012
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