Individual
MARQUISDERELL DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12901 FM 1649, ORE CITY, TX 75683-6532
(405) 628-9986
Mailing address
1209 FM 1679, ORE CITY, TX 75683
(405) 628-9986
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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