Individual
DR. JACLYN TERESA MARROQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
505 SAINT DAVIDS LOOP STE 320, LEANDER, TX 78641-5225
(737) 843-7533
(737) 843-7535
Mailing address
505 SAINT DAVIDS LOOP STE 320, LEANDER, TX 78641-5225
(737) 843-7533
(737) 843-7535
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP10026814
TX
208000000X
Pediatrics Physician
Primary
N3867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206278803
—
TX
01
—
3891389930
MYUTMB 3891389930-COMMERCIAL NUMBER
—
Enumeration date
06/15/2007
Last updated
05/04/2023
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