Provider Demographics
NPI:1720575228
Name:PRECIOUS J MARQUART MD PLLC
Entity Type:Organization
Organization Name:PRECIOUS J MARQUART MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER/SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRECIOUS
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARQUART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-975-1686
Mailing Address - Street 1:12300 BEAR PLZ STE 408
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-9501
Mailing Address - Country:US
Mailing Address - Phone:817-595-1768
Mailing Address - Fax:817-585-1373
Practice Address - Street 1:12300 BEAR PLZ STE 408
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-9501
Practice Address - Country:US
Practice Address - Phone:817-595-1768
Practice Address - Fax:817-585-1373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-19
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty