Provider Demographics
NPI:1033995832
Name:MARQUEZ, MELIDA ADRIANA
Entity Type:Individual
Prefix:
First Name:MELIDA
Middle Name:ADRIANA
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3604 OAKWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-3925
Mailing Address - Country:US
Mailing Address - Phone:956-607-6362
Mailing Address - Fax:
Practice Address - Street 1:3604 OAKWOOD LN
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78573-3925
Practice Address - Country:US
Practice Address - Phone:956-607-6362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2023-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care