Provider Demographics
NPI:1790161784
Name:RAUL A. MARQUEZ, M.D., PA
Entity Type:Organization
Organization Name:RAUL A. MARQUEZ, M.D., PA
Other - Org Name:ORTHOPEDIC SURGERY CENTER SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MARKETING DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:CERDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-463-7949
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:956-668-0070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty