Individual
MARQUETTA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
208 W BEN WHITE BLVD, AUSTIN, TX 78704-7126
(512) 861-8060
Mailing address
300 S COMMERCE ST STE B, LOCKHART, TX 78644-2887
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP138371
TX
Other
Enumeration date
11/06/2018
Last updated
10/17/2019
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