Provider Demographics
NPI:1477380194
Name:DZIUK, MARGUERITE (BSN RN)
Entity type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:
Last Name:DZIUK
Suffix:
Gender:F
Credentials:BSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 148
Mailing Address - Street 2:
Mailing Address - City:HOBSON
Mailing Address - State:TX
Mailing Address - Zip Code:78117-0148
Mailing Address - Country:US
Mailing Address - Phone:210-831-6060
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 148
Practice Address - Street 2:
Practice Address - City:HOBSON
Practice Address - State:TX
Practice Address - Zip Code:78117-0148
Practice Address - Country:US
Practice Address - Phone:210-831-6060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX618053163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse