Individual
LUCILLE GLORIA MARCOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
4708 ALLIANCE BLVD, SUITE 650, PLANO, TX 75093-5340
(469) 326-2636
(469) 326-2640
Mailing address
4708 ALLIANCE BLVD, SUITE 650, PLANO, TX 75093-5340
(469) 326-2636
(469) 326-2640
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
431755
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8A2555
MEDICARE PROVIDER NO.
TX
Enumeration date
02/23/2010
Last updated
02/23/2010
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