Provider Demographics
NPI:1013588565
Name:MARQUEZ, KARINA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KARINA
Middle Name:
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:KARINA
Other - Middle Name:L
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9753 WEBB CHAPEL RD STE 900
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75220-3513
Mailing Address - Country:US
Mailing Address - Phone:214-622-6048
Mailing Address - Fax:214-622-6051
Practice Address - Street 1:9753 WEBB CHAPEL RD STE 900
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-3513
Practice Address - Country:US
Practice Address - Phone:214-622-6048
Practice Address - Fax:214-622-6051
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1029920363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily