Provider Demographics
NPI:1689100422
Name:WARE, MARQUIS L
Entity Type:Individual
Prefix:
First Name:MARQUIS
Middle Name:L
Last Name:WARE
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 1:10965 S GESSNER RD
Mailing Address - Street 2:#1232
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-3500
Mailing Address - Country:US
Mailing Address - Phone:832-245-2938
Mailing Address - Fax:
Practice Address - Street 1:10965 S GESSNER RD
Practice Address - Street 2:#1232
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-3500
Practice Address - Country:US
Practice Address - Phone:832-245-2938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172A00000XOther Service ProvidersDriver
No1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/Coder
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0OtherPERSONAL CARE AND MEDICAL TRANSPORATION