Provider Demographics
NPI:1922333103
Name:MARQUARDT, LYNN MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:MARIE
Last Name:MARQUARDT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 SAWDUST RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2238
Mailing Address - Country:US
Mailing Address - Phone:281-419-2300
Mailing Address - Fax:281-419-2030
Practice Address - Street 1:271 SAWDUST RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2238
Practice Address - Country:US
Practice Address - Phone:281-419-2300
Practice Address - Fax:281-419-2030
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7013111NS0005X
TX775068363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily