Provider Demographics
NPI:1962454744
Name:MARROQUIN, PATRICIA M (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:MARROQUIN
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:2021 N MACARTHUR BLVD
Mailing Address - Street 2:STE 150
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-2219
Mailing Address - Country:US
Mailing Address - Phone:972-253-2530
Mailing Address - Fax:972-406-3005
Practice Address - Street 1:6750 N MACARTHUR BLVD
Practice Address - Street 2:STE 255
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2875
Practice Address - Country:US
Practice Address - Phone:972-253-2530
Practice Address - Fax:972-406-3005
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2015-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL6516207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183659501Medicaid
TX8F4167Medicare PIN