Provider Demographics
NPI:1487814505
Name:MARQUEZ, AMES TADEO (MD)
Entity Type:Individual
Prefix:
First Name:AMES
Middle Name:TADEO
Last Name:MARQUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4615 ALAMEDA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2702
Mailing Address - Country:US
Mailing Address - Phone:915-532-2202
Mailing Address - Fax:915-534-5587
Practice Address - Street 1:4615 ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2702
Practice Address - Country:US
Practice Address - Phone:915-532-2202
Practice Address - Fax:915-534-5587
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP30392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry