Provider Demographics
NPI:1164434320
Name:MARQUEZ, RAUL A (MD)
Entity Type:Individual
Prefix:
First Name:RAUL
Middle Name:A
Last Name:MARQUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2402 CORNERSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8462
Mailing Address - Country:US
Mailing Address - Phone:956-668-0060
Mailing Address - Fax:956-668-0070
Practice Address - Street 1:2402 CORNERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8462
Practice Address - Country:US
Practice Address - Phone:956-668-0060
Practice Address - Fax:956-971-8809
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ1302207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX084243701Medicaid
TX084243701Medicaid
TX87W340Medicare PIN